Vision Loss following Intraocular Listeriosis Associated with Contaminated Cantaloupe

Ibraheem, Mam; Vance, Sushma K; Jackson, Kelly A.; Ettestad, Paul; Smelser, Chad; Silk, Benjamin J.

doi:10.1159/000351858

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…In literature, keratitis, endophthalmitis and panuveitis have also been described [2][3][4]. Most infections are sporadic, but there are also reports of outbreaks [5].…”

Section: Discussionmentioning

confidence: 99%

Listeria Monocytogenes Endophthalmitis after Intermediate Uveitis and ppV for Retinal Detachment

Parlar¹,

Zettl²,

Gerding

2017

Klin Monatsbl Augenheilkd

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“…In literature, keratitis, endophthalmitis and panuveitis have also been described [2][3][4]. Most infections are sporadic, but there are also reports of outbreaks [5].…”

Section: Discussionmentioning

confidence: 99%

Listeria Monocytogenes Endophthalmitis after Intermediate Uveitis and ppV for Retinal Detachment

Parlar¹,

Zettl²,

Gerding

2017

Klin Monatsbl Augenheilkd

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“…The present case, as well as nine of the twenty-six published cases of L. monocytogenes endophthalmitis, occurred in immunocompromised patients (37 %) [ 11 , 14 , 17 , 19 , 22 , 25 , 27 , 29 , 34 ]. 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 ].…”

Section: Review On Symptoms Clinic Treatment and Outcome Of Publishmentioning

confidence: 99%

“…The cause of bacterial endophthalmitis was isolated by recovering Listeria monocytogenes from the anterior chamber (18/21; 86 %), vitreous fluid (7/9; 78 %), or in three cases from blood cultures (3/13; 23 %) (Table 2 ) [ 18 , 22 , 30 ].…”

Section: Review On Symptoms Clinic Treatment and Outcome Of Publishmentioning

confidence: 99%

“…The clinical course of endophthalmitis caused by Listeria monocytogenes had very different outcomes. In single cases, the infection led to enucleation, blindness, or strong visual loss [ 19 , 30 , 31 , 33 ]. In eight cases (30 %), a cataract developed, which led to decreased VA with subsequent cataract surgery [ 16 , 18 , 22 , 24 , 25 , 27 – 29 ].…”

Section: Review On Symptoms Clinic Treatment and Outcome Of Publishmentioning

confidence: 99%

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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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“…Sporadic cases of listerial ocular infections have been reported in patients with sepsis or meningitis (3, 4, 42–43–44–45–46–47–48–49). One case was associated with an outbreak of listeriosis due to contaminated cantaloupe from a single farm (50). Of special interest is a report on a fatal outcome of endophthalmitis in a young female patient with rheumatic arthritis treated with tumor necrosis factor-α inhibitors (51).…”

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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Vision Loss following Intraocular Listeriosis Associated with Contaminated Cantaloupe

Cited by 8 publications

References 9 publications

Listeria Monocytogenes Endophthalmitis after Intermediate Uveitis and ppV for Retinal Detachment

Listeria Monocytogenes Endophthalmitis after Intermediate Uveitis and ppV for Retinal Detachment

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

Listeria Infections of the Eye

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