Metastatic endophthalmitis in dialysis patients.
Metastatic bacterial endophthalmitis is a rare but devastating complication of septicaemia. We present 3 recent cases occurring in dialysis patients. Septicaemic dialysis patients seem particularly prone to staphylococcal endophthalmitis which developed in the face of therapeutic serum concentrations of appropriate antibiotics in all 3 cases. Prompt treatment, including consideration of intravitreal antibiotics, is required if vision is to be preserved. Early signs of endophthalmitis should be actively sought in septicaemic dialysis patients, as they are easily overlooked.
Smith
K G
KG
Department of Nephrology, Royal Melbourne Hospital, Melbourne, Australia.
Ihle
B U
BU
Heriot
W J
WJ
Becker
G J
GJ
D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D015984:Causality; D009877:Endophthalmitis / Q000453:epidemiology / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000453:epidemiology / Q000382:microbiology*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy