title: Exogenous Neisseria meningitidis endophthalmitis.
abstract: OBJECTIVE
  To report a case of Neisseria meningitidis endophthalmitis in association with a leaking filtering bleb and to consider antibiotic prophylaxis of those people with whom the patient had contact.
  
  
  METHODS
  We treated an 81-year-old man who had a chronic, leaking filtering bleb and who developed exogenous N meningitidis endophthalmitis.
  
  
  RESULTS
  N meningitidis endophthalmitis was controlled with antibiotic therapy. Antibiotic prophylaxis for those with whom the patient had contact was not recommended.
  
  
  CONCLUSIONS
  In this case, the N meningitidis strain was not considered invasive because the bacteria apparently entered the eye through a leaky filtering bleb and not through the bloodstream. Recovery of noninvasive N meningitidis does not require prophylaxis for patient contacts. In cases of endogenous or idiopathic N meningitidis endophthalmitis, antibiotic prophylaxis of close patient contacts may be warranted.
authors.affiliation: Emory Eye Center, Atlanta, GA 30322, USA. dsapers@emory-edu
authors.forename: D A
authors.initials: DA
authors.lastname: Saperstein
authors.forename: M D
authors.initials: MD
authors.lastname: Bennett
authors.forename: J P
authors.initials: JP
authors.lastname: Steinberg
authors.forename: V M
authors.initials: VM
authors.lastname: Reddy
authors.forename: T M
authors.initials: TM
authors.lastname: Aaberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002387:Cataract Extraction; D009877:Endophthalmitis / Q000382:microbiology*; D018463:Filtering Surgery / Q000009:adverse effects; D006801:Humans; D008297:Male; D008589:Meningococcal Infections / Q000188:drug therapy / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents