Endogenous endophthalmitis and liver abscesses
Koay, S.; Jain, S.; Cropley, I.; Petrushkin, H.; Beynon, H.
Acute Medicine 11(1): 25-27
2012
ISSN/ISBN: 1747-4892 PMID: 22423344 Document Number: 12402
We present a case of endogenous endophthalmitis secondary to liver abscesses, in a patient with no previous medical comorbidities or risk factors for immunosuppression. The patient presented with acute painless loss of vision and feeling generally unwell. Investigations revealed Streptococcus anginosus-constellatus bacteraemia, and evidence of diverticular disease that likely predisposed to the liver abscesses. Due to prompt diagnosis and administration of antibiotics, the patient had a good visual outcome. This case highlights the importance of being aware of endogenous endophthalmitis, as early diagnosis and prompt administration of antibiotics will optimise visual outcomes.
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