Sudden Vision Loss as the First Sign of Sepsis-Bilateral Endogenous Endophthalmitis of Uncommon Capnocytophaga canimorsus Etiology

被引：0

作者：

Latkowska, Malgorzata ^{[1
]}

Gajdzis, Malgorzata ^{[1
,2
]}

Turno-Krecicka, Anna ^{[1
,2
]}

Krecicka, Julia ^{[1
]}

Mimier-Janczak, Malgorzata ^{[1
]}

Gorczynska, Izabela ^{[1
]}

Kaczmarek, Radoslaw ^{[1
,2
]}

机构：

[1] Univ Clin Hosp, Dept Ophthalmol, PL-50556 Wroclaw, Poland

[2] Wroclaw Med Univ, Dept Ophthalmol, PL-50556 Wroclaw, Poland

来源：

MEDICINA-LITHUANIA | 2024年 / 60卷 / 06期

关键词：

endogenous endophthalmitis; endophthalmitis; Capnocytophaga canimorsus;

D O I：

10.3390/medicina60060896

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present a case of bilateral endogenous endophthalmitis with an extremely rare etiology of Capnocytophaga canimorsus. A 42-year-old asplenic patient with bilateral deterioration of visual acuity presented to the Emergency Department. The sudden deterioration of visual acuity, which prompted the patient to visit the ophthalmologist, was the first sign of the onset of sepsis. The physicians' attention, in addition to poor visual acuity and intense inflammation on ophthalmologic examination, was drawn to the reported flu-like symptoms. They were accompanied by high C-reactive protein results and abnormalities in echocardiography. A blood culture isolated the bacterium Capnocytophaga canimorsus. Immunocompromised patients are particularly susceptible to C. canimorsus infection. Endophthalmitis of this etiology has a very aggressive course, both ophthalmic and systemic. Therefore, quick diagnosis and initiation of adequate therapy are crucial.

引用

页数：6