Endophtalmie endogène bactérienne sur abcès dentaire : à propos d’un cas

A case of endogenous endophthalmitis after a mild dental infection

“…3 Cases of endogenous endophthalmitis have been reported in patients with bacteremia, endocarditis, malignancy, indwelling catheters, abdominal abscesses, and intravenous drug use. 1,3,4 Many of these patients had predisposing risk factors, such as previous eye surgery, immunocompromised state, malignancy, or diabetes. Some cases have Supervising Editor: Kenneth Katz, MD.…”

“…JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians demonstrated endogenous endophthalmitis in immunocompetent patients. 1,3,4 Endogenous endophthalmitis has also been reported after dental procedures such as routine cleaning or a dental implant. 5,6 When endogenous endophthalmitis develops after a dental procedure, it has been postulated to be from a transient bacteremia that seeds the eye without causing systemic symptoms.…”

“…Most of the published literature about endogenous endophthalmitis comes from case reports because of how rarely it occurs 3 . Cases of endogenous endophthalmitis have been reported in patients with bacteremia, endocarditis, malignancy, indwelling catheters, abdominal abscesses, and intravenous drug use 1,3,4 . Many of these patients had predisposing risk factors, such as previous eye surgery, immunocompromised state, malignancy, or diabetes.…”

“…Many of these patients had predisposing risk factors, such as previous eye surgery, immunocompromised state, malignancy, or diabetes. Some cases have demonstrated endogenous endophthalmitis in immunocompetent patients 1,3,4 . Endogenous endophthalmitis has also been reported after dental procedures such as routine cleaning or a dental implant 5,6 .…”

“…When endogenous endophthalmitis develops after a dental procedure, it has been postulated to be from a transient bacteremia that seeds the eye without causing systemic symptoms 6 . An extensive literature review showed only a single case of endogenous endophthalmitis reported from a dental infection, although that case was from a severe dental infection complicated by an abscess 4 . This case describes a healthy middle‐aged man with no ophthalmic surgical history who developed rapidly progressive endogenous endophthalmitis after a mild dental infection and within 3 days had almost complete vision loss.…”