American journal of ophthalmology · 2004
Endogenous endophthalmitis after otitis media.
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Siegersma Jan Eize, Klont Rob R, Tilanus Mauk A D, Verbeek Ad M, Schülin Tanja, Cruysberg Johannes R M, Deutman August F
Аннотация
PURPOSE: To report a case of bacterial endophthalmitis after otitis media in a healthy adult.
DESIGN: Interventional case report.
METHODS: A healthy 49-year-old Caucasian woman developed acute otitis media of the right ear. Three weeks after the first onset there was a recurrence of the otitis media, with perforation of the tympanic membrane. Two days after this, the woman presented at our clinic with endophthalmitis of the right eye.
RESULTS: A culture of vitreous material grew Streptococcus pyogenes (Streptococcus Lancefield group A). The same strain was found in a smear from the perforated ear. Despite aggressive treatment, the affected eye had to be eviscerated.
CONCLUSIONS: Otitis media can result in a bacteremia. This may, even in a healthy adult, lead to a devastating endogenous bacterial endophthalmitis.
DESIGN: Interventional case report.
METHODS: A healthy 49-year-old Caucasian woman developed acute otitis media of the right ear. Three weeks after the first onset there was a recurrence of the otitis media, with perforation of the tympanic membrane. Two days after this, the woman presented at our clinic with endophthalmitis of the right eye.
RESULTS: A culture of vitreous material grew Streptococcus pyogenes (Streptococcus Lancefield group A). The same strain was found in a smear from the perforated ear. Despite aggressive treatment, the affected eye had to be eviscerated.
CONCLUSIONS: Otitis media can result in a bacteremia. This may, even in a healthy adult, lead to a devastating endogenous bacterial endophthalmitis.