Anterior Uveitis Caused by Listeria Monocytogenes Infection
Journal of the Korean Ophthalmological Society
;
: 1006-1009, 2019.
Artigo
em Coreano
| WPRIM
| ID: wpr-766829
ABSTRACT
PURPOSE:
To report a case of anterior uveitis secondary to Listeria monocytogenes infection. CASESUMMARY:
A 57-year-old male presented to our clinic with ocular pain and decreased vision in the right eye for 2 days. The patient had a history of liver transplantation 2 years prior and used immunosuppressive agents. Listeria monocytogenes was identified in blood cultures 1 month before his visit. At presentation, best-corrected visual acuity (BCVA) of the right eye was counting fingers at 20 cm and the intraocular pressure (IOP) was 50 mmHg. Conjunctival hyperemia, corneal edema, keratic precipitates, and cells in the anterior chamber were observed in the right eye. The patient was diagnosed as anterior uveitis in the right eye. Conventional uveitis treatment was initiated but clinical features did not improve and black hypopyon appeared. The possibility of anterior uveitis caused by Listeria monocytogenes infection was considered. An anterior chamber tap and culture were conducted to identify pathogens. Anterior chamber antibiotic injections and systemic antibiotic injections were performed. One week after injection, the BCVA of the right eye improved to 0.4 and the IOP decreased to 14 mmHg. One month after injection, the BCVA of the right eye improved to 1.0 and the IOP decreased to 16 mmHg. No inflammation of the anterior chamber was observed.CONCLUSIONS:
When nonspecific uveitis occurs in immunosuppressed patients, cultures and appropriate antibiotics should be considered because of the possibility of infection.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Uveíte
/
Acuidade Visual
/
Edema da Córnea
/
Uveíte Anterior
/
Endoftalmite
/
Transplante de Fígado
/
Dedos
/
Hiperemia
/
Imunossupressores
/
Inflamação
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2019
Tipo de documento:
Artigo
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