Listeria monocytogenes endophthalmitis

Duch, Susana; Quintana, M; Pujol, O.

doi:10.1111/j.1755-3768.1991.tb02004.x

Cited by 11 publications

(6 citation statements)

References 11 publications

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“…Notably, a patient with Listeria endophthalmitis responded well to vitrectomy and systemic lipid-soluble TMP/SMZ therapy [12]. Another patient had complete vision recovery after intravitreal ampicillin [13]. Our patient received empiric intravitreal injections of vancomycin and ceftazidime, and both antibiotics were initially administered to control systemic infection.…”

Section: Discussionmentioning

confidence: 99%

Vision Loss following Intraocular Listeriosis Associated with Contaminated Cantaloupe

Ibraheem

Vance

Jackson

et al. 2013

Case Rep Ophthalmol

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Intraocular listeriosis, a rare manifestation of invasive listeriosis, has a poor visual prognosis. We report an intraocular listeriosis case related to a multistate outbreak associated with contaminated cantaloupe. Increasing awareness of rare listeriosis presentations might facilitate timely diagnosis and treatment, and case reporting can clarify medical and epidemiologic aspects of listeriosis.

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Section: Discussionmentioning

confidence: 99%

Vision Loss following Intraocular Listeriosis Associated with Contaminated Cantaloupe

Ibraheem

Vance

Jackson

et al. 2013

Case Rep Ophthalmol

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“…Five cases (19 %) occurred in patients with chronic diseases such as neurodermitis, sacroiliitis, diabetes mellitus (present case), arterial hypertension, hypothyroidism, or previous history of cancer or surgery (coronary artery bypass graft) [ 16 , 21 , 24 , 26 , 30 ] (Table 2 ) . Six cases (22 %) occurred in elderly patients (age 62–76) in good physical health [ 9 , 10 , 12 , 13 , 18 , 23 , 33 ], and the remaining four cases (15 %) affected young (age 27–47), healthy individuals [ 20 , 28 , 31 , 32 ]. More specifically, the recently published cases describe two young patients (age 27, 28), both having a history of refractive ocular surgery [ 31 , 32 ].…”

Section: Review On Symptoms Clinic Treatment and Outcome Of Publishmentioning

confidence: 99%

“…Overall, in seven cases, the VA had significantly improved to at least 0.6 or had completely recovered (Fig. 3 ), which can be explained by the main focus of inflammation in the anterior segment of the eye with little or late involvement of the retina [ 15 , 17 , 20 , 23 , 24 , 26 , 28 ]. After resolving of the hypopyon and clearing of the anterior chamber, VA increases.…”

Section: Review On Symptoms Clinic Treatment and Outcome Of Publishmentioning

confidence: 99%

Listeria monocytogenes endophthalmitis – case report and review of risk factors and treatment outcomes

et al. 2016

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BackgroundThe majority of cases of endophthalmitis are caused by exogenous pathogens; only 5–10 % are of endogenous origin. One cause of these rare cases of endogenous endophthalmitis is Listeria monocytogenes. Twenty-six cases of endophthalmitis due to this pathogen have been published over the last twenty years. The aim of this review is to summarize the main risk factors and common clinical findings of endogenous endophthalmitis due to Listeria monocytogenes.Case presentationWe report on a 62-year-old female presenting with a sterile hypopyon iritis with secondary glaucoma and an underlying rheumatoid disease. In microbiological analysis we identified Listeria monocytogenes. Further we searched through all published cases for typical signs, risk factors, details of medical and surgical treatment and outcome of endogenous endophthalmitis due to this rare pathogen.Ocular symptoms in almost all of these published cases included pain, redness of the eye, and decreased vision. Main clinical features included elevated intraocular pressure and fibrinous anterior chamber reaction, as well as a dark hypopyon. While the infection is typically spread endogenously, neither an exogenous nor endogenous source of infection could be identified in most cases. Immunocompromised patients are at higher risk of being infected than immunocompetent patients. The clinical course of endophthalmitis caused by Listeria monocytogenes had different visual outcomes. In some cases, the infection led to enucleation, blindness, or strong visual loss, whereas most patients showed a tendency of visual improvement during therapy.ConclusionEarly diagnosis and treatment initiation are crucial factors in the outcome of endogenous endophthalmitis caused by Listeria monocytogenes. This possible differential diagnosis should be kept in mind while treating patients with presumable sterile hypopyon and anterior uveitis having a high intraocular pressure. A bacterial source should be considered with a prompt initiation of systemic antibiotic treatment, mainly in immunocompromised patients, who develop endogenous anterior uveitis. An appropriate microbiological sampling is essential to detect atypical microorganisms and to choose an effective antibiotic treatment.

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“…Septicemia during systemic listeriosis may be short-lived and the patient will experience a flu-like episode only (2). Therefore, in a few cases the eye can be the only manifestation of a presumably hematogenous distribution without any identified extraocular septic foci (4, 39, 53–54–55–56–57–58–59). If this happens in patients with no underlying disease or state of immunosuppression (54, 60), it will finally remain obscure in practice whether the eye was involved during an endogenous or an exogenous mode of infection (41).…”

Section: Endogenous Infectionsmentioning

confidence: 99%

Listeria Infections of the Eye

Hof¹

2016

European Journal of Ophthalmology

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The bacterium Listeria monocytogenes resides originally in the environment. Infections of the eye have been induced experimentally; for example, in rabbits and guinea pigs. Natural ocular infections occur in various animals; in most instances, they are induced exogenously; for example, by contaminated silage affecting primarily the conjunctiva, cornea, or the anterior chamber. Sporadic infections as well as outbreaks have been described. In humans, besides exogenous infections, endogenous infections also occur, inducing mainly endophthalmitis. Since an exact diagnosis of the causative agent is often delayed, specific therapy starts too late, so that the outcome is often poor. The antibiotics of primary choice would be ampicillin or a quinolone such as moxifloxacin or levofloxacin. The role of fosfomycin for therapy of ocular infections is discussed.

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Listeria monocytogenes endophthalmitis

Abstract: Listeria endophthalmitis developed in an otherwise healthy woman. Early identification of the microorganism after anterior chamber paracentesis and aggressive treatment with specific antibiotics through the intravitreal route resulted in complete recovery of visual acuity.

Cited by 11 publications

References 11 publications

Vision Loss following Intraocular Listeriosis Associated with Contaminated Cantaloupe

Vision Loss following Intraocular Listeriosis Associated with Contaminated Cantaloupe

Listeria monocytogenes endophthalmitis – case report and review of risk factors and treatment outcomes

Listeria Infections of the Eye

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