Early Ocular Complications of Epidemic Meningitis

Lázár, N.

doi:10.1001/archopht.1936.00840230127010

Cited by 20 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bilateral involvement is seen in 14 to 25% of patients and reports have shown a higher incidence of involvement of right eye versus left eye [ 1 ] in patients with unilateral disease. Before the widespread use of antibiotics the incidence of endophthalmitis secondary to bacterial meningitis was significant [ 2 ], though it has become very rare today.…”

Section: Discussionmentioning

confidence: 99%

Endogenous endophthalmitis secondary to bacterial meningitis from Neisseria Meningitidis: a case report and review of the literature

Balaskas

Potamitou

2009

Cases Journal

View full text Add to dashboard Cite

BackgroundTo report the case of a patient with endogenous endophthalmitis secondary to meningitis from Neisseria Meningitidis with early detection and good visual recovery.Case reportA 20-year old patient treated for meningitis was referred to us for vision blurring of his left eye. Unilateral endogenous panophthalmitis was diagnosed with visual acuity hand movement at 1 meter and vitreous sample was obtained for culture. The patient was already receiving intravenous ceftriaxone and dexamethasone. Ceftazidime was injected intravitreally. Four months later visual acuity improved to 4/10 on the Snellen's scale but the development of extensive fibrous strands and the risk for vessel rupture led to vitreous surgery. One year later the visual acuity is stable at 5/10.ConclusionEndogenous endophthalmitis constitutes a rare complication of bacterial meningitis and its prompt diagnosis and administration of intravitreal antibiotics could lead to a more favorable visual prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Endogenous endophthalmitis secondary to bacterial meningitis from Neisseria Meningitidis: a case report and review of the literature

Balaskas

Potamitou

2009

Cases Journal

View full text Add to dashboard Cite

show abstract

“…It can occur at any age, ranging from 1 week to 85 years.Bilateral involvement is seen in 14 to 25% of patients and reports have shown a higher incidence of involvement of right eye versus left eye [4] in patients with unilateral disease. Before the widespread use of antibiotics the incidence of endophthalmitis secondary to bacterial meningitis was significant [5], though it has become very rare today.…”

Section: Discussion:-mentioning

confidence: 99%

Pediatric Bilateral Endogenous Endophthalmitis Post Meningitis: A Case Report With Literature Review

Jouidi¹,

Mrad²,

Abdellah³

et al. 2020

IJAR

View full text Add to dashboard Cite

Pediatric endogenous endophthalmitis is a rare disease that can cause serious ophthalmic damage. We report and discuss the diagnostic aspects and the clinical outcome of pediatric endogenous endophthalmitisdue to bacterial meningitis in a immunocompetent 3 year old infant with a three days history of, photophobia, purulent discharge, redness, corneal edema, hypopyon, poor red reflex and nausea.His parents brought him to our emergency department. He was diagnosed as having bilateral endogenous endophthalmitis associated with bacterial meningitis.Intravenous broad-spectrum antibiotic therapy was initiated with Cefotaxime 200 mg / kg per day in 4 slow IV injections and vancomycin15mg/kg per day in 4 IV injections. Intravitreal antibiotic (vancomycin and ceftazidime) injections were performed in both eyes. Two weeks post presentation, the best-corrected visual acuity in both eyes improved to 0.4, and inflammation of the anterior chamber and vitreous cavity was decreased. We recommend that when endogenous endophthalmitis is suspected along with meningitis, or if it is known to be present, Intravitreal and intravenous antibiotics should be promptly administered to preserve vision.

show abstract

“…L'endophtalmie (infection oculaire se manifestant par une pan-uvéite douloureuse) est le plus souvent une complication de la chirurgie oculaire. L'endophtalmie endogène (due à une bactériémie) est beaucoup moins fréquente (2 à 15 % de l'ensemble des endophtalmies) [10,11]. Avant l'ère des antibiotiques, le méningocoque et le pneumocoque étaient les agents microbiens les plus fréquemment responsables d'endophtalmie endogène [12,13].…”

Section: Commentairesunclassified

“…Avant l'ère des antibiotiques, le méningocoque et le pneumocoque étaient les agents microbiens les plus fréquemment responsables d'endophtalmie endogène [12,13]. Cette atteinte pouvait compliquer alors 5 à 10 % des méningites à méningocoques [10,12]. Actuellement, les germes les plus souvent impliqués en Europe et Amérique du Nord sont des bactéries à Gram positif (Staphylococcus aureus, streptocoques du groupe B, pneumocoque, Listeria monocytogenes), tandis qu'en Asie du Sud-Est, ce sont majoritairement des bactéries à Gram négatif (klebsielles, Escherichia coli, Pseudomonas aeruginosa, méningocoque) [12,13].…”

Section: Commentairesunclassified