title: Endogenous aeromonas hydrophila endophthalmitis in an immunocompromised patient.
abstract: OBJECTIVE
  To report a case of endogenous endophthalmitis due to Aeromonas hydrophila in a patient with distal common bile duct carcinoma and biliary sepsis.
  
  
  METHODS
  A 72-year-old woman with distal common bile duct carcinoma, obstructive jaundice, diabetes mellitus, and hypertension had a 1-day history of blurred vision, redness, and eye discharges in the right eye. An ophthalmic examination showed no light perception vision, increased intraocular pressure, severe corneal edema, severe anterior chamber reaction, exudative membranes on the anterior lens surface, and severe vitreal reaction. There was no ocular history of trauma, infection, or surgery in either eye.
  
  
  RESULTS
  Under the impression of endogenous bacterial endophthalmitis, immediate intraocular cultures and intravitreal antibiotic injections were performed, but the anterior chamber reaction, and the ultrasonogram findings were deteriorated. Evisceration was undertaken because of extrusion of the intraocular contents, and Aeromonas hydrophila was isolated by intraocular culture.
  
  
  CONCLUSIONS
  Endogenous endophthalmitis due to Aeromonas hydrophila is rare, but has a rapid clinical course and a poor prognosis, despite of prompt diagnosis and management.
authors: Department of Ophthalmology, Gachon University Gil Medical Center, Namdong-gu, Incheon, Korea.
authors: Hee Jin
authors: HJ
authors: Sohn
authors: Dong Heun
authors: DH
authors: Nam
authors: Yeon Suk
authors: YS
authors: Kim
authors: Hae Jung
authors: HJ
authors: Paik
mesh_terms: D016980:Aeromonas hydrophila; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology; D017234:Eye Evisceration; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy; D006801:Humans; D016867:Immunocompromised Host; D007267:Injections; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014463:Ultrasonography; D014822:Vitreous Body
chemical_list: D000900:Anti-Bacterial Agents