Endogenous endophthalmitis as a complication in erysipelas

Endogenous endophthalmitis is a devastating infection of the eye that leads to blindness in about two-thirds of patients. It results from the haematogenous spread of a microorganism from a focus of sepsis, mainly gastro-intestinal, genitourinary or cardiac. We describe the case of a diabetic subject...

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Veröffentlicht in:Annales de dermatologie et de vénéréologie 2013-11, Vol.140 (11), p.718-721
Hauptverfasser: Paquier-Valette, C, Cante, V, Brassat, S, Camus, M, Bolac, C, Guillet, G
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container_end_page 721
container_issue 11
container_start_page 718
container_title Annales de dermatologie et de vénéréologie
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creator Paquier-Valette, C
Cante, V
Brassat, S
Camus, M
Bolac, C
Guillet, G
description Endogenous endophthalmitis is a devastating infection of the eye that leads to blindness in about two-thirds of patients. It results from the haematogenous spread of a microorganism from a focus of sepsis, mainly gastro-intestinal, genitourinary or cardiac. We describe the case of a diabetic subject presenting endogenous endophthalmitis following erysipelas of the leg due to Streptococcus agalactiae. The outcome was favourable thanks to prompt initiation of appropriate antibiotic treatment. Endogenous endophthalmitis as a complication of a skin infection is a rare entity, with only about 30 reported cases in the literature. Awareness of this condition among dermatologists would allow prompt intervention, which is essential for sparing of the patient's eyesight.
doi_str_mv 10.1016/j.annder.2013.07.023
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subjects Antifungal Agents - therapeutic use
Bacteremia - drug therapy
Bacteremia - etiology
Bacteremia - microbiology
Ceftazidime - therapeutic use
Diabetes Mellitus, Type 2 - complications
Disease Susceptibility
Drug Therapy, Combination
Endophthalmitis - drug therapy
Endophthalmitis - etiology
Endophthalmitis - microbiology
Erysipelas - complications
Erysipelas - drug therapy
Eye Infections, Bacterial - drug therapy
Eye Infections, Bacterial - etiology
Eye Infections, Bacterial - microbiology
Humans
Imipenem - therapeutic use
Intertrigo - complications
Intertrigo - drug therapy
Leg
Levofloxacin - therapeutic use
Male
Middle Aged
Obesity - complications
Streptococcus agalactiae - isolation & purification
Uveitis, Anterior - drug therapy
Uveitis, Anterior - etiology
Uveitis, Anterior - microbiology
Vancomycin - therapeutic use
title Endogenous endophthalmitis as a complication in erysipelas
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