Endogenous Bacterial Endophthalmitis Caused by Iliopsoas Abscess.

Abstract

A 79-year-old woman presented to our hospital with a 10-day history of gradually worsening binocular vision and severe backache. Further investigations revealed poor bilateral best-corrected visual acuities (BCVA), bilateral vitreous opacities, gray-white lesions scattered throughout the retina, and a left iliopsoas abscess on CT that later grew out methicillin-sensitive S. aureus. The abscess was drained and intravenous antibiotics were initiated, but the left eye additionally required intravitreal vancomycin. BCVA for both eyes normalized within 1 year. Intramuscular abscess should be considered as a possible primary lesion in cases of endogenous bacterial endophthalmitis.

• Authors: Weiying Sun, Yusuke Shiode, Kazuki Tokumasu, Shuhei Kimura, Mio Hosokawa, Shinichiro Doi, Kosuke Takahashi, Ryo Matoba, Fumio Otsuka, Yuki Morizane
• Journal: Acta medica Okayama (Acta Med Okayama) Vol. 75 Issue 2 Pg. 249-253 (Apr 2021) ISSN: 0386-300X [Print] Japan
• PMID: 33953434 (Publication Type: Case Reports)

Topics

• Aged
• Endophthalmitis (diagnosis)
• Eye Infections, Bacterial (diagnosis)
• Female
• Humans
• Methicillin-Resistant Staphylococcus aureus (isolation & purification)
• Psoas Abscess (diagnosis)
• Staphylococcal Infections (diagnosis)