Endogenous Bacterial Endophthalmitis Caused by Iliopsoas Abscess

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Abstract

A 79-year-old woman presented to our hospital with a 10-day history of gradually worsening binocular vision and severe backache. Further investigations revealed poor bilateral best-corrected visual acuities (BCVA), bilateral vitreous opacities, gray-white lesions scattered throughout the retina, and a left iliopsoas abscess on CT that later grew out methicillin-sensitive S. aureus. The abscess was drained and intravenous antibiotics were initiated, but the left eye additionally required intravitreal vancomycin. BCVA for both eyes normalized within 1 year. Intramuscular abscess should be considered as a possible primary lesion in cases of endogenous bacterial endophthalmitis.

Original languageEnglish
Pages (from-to)249-253
Number of pages5
JournalActa medica Okayama
Volume75
Issue number2
Publication statusPublished - 2021

Keywords

  • endogenous bacterial endophthalmitis
  • iliopsoas abscess
  • intravitreal injection
  • methicillin-sensitive Staphylococcus aureus
  • vancomycin

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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