Metastatic Pseudomonas endophthalmitis following bronchoscopy.
Symptoms of uveitis developed in the left eye of a 61-year-old woman 2 weeks after bronchoscopy to investigate hemoptysis. The true diagnosis of metastatic endophthalmitis was unsuspected for 1 month. Both sputum and vitreous samples yielded Pseudomonas aeruginosa when cultured. Despite aggressive medical treatment, subtotal vitrectomy and intraocular injections of antibiotics, enucleation was eventually necessary. To our knowledge this is the first reported case of metastatic endophthalmitis following bronchoscopy. It is also the first report of the concentration of ceftazidime pentahydrate in the vitreous humour of an infected human eye.
D001999:Bronchoscopy / Q000009:adverse effects*; D003131:Combined Modality Therapy; D009877:Endophthalmitis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000209:etiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013183:Sputum / Q000382:microbiology; D014822:Vitreous Body / Q000382:microbiology