Endogenous aeromonas hydrophila endophthalmitis in an immunocompromised patient.
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.
Sohn
Hee Jin
HJ
Department of Ophthalmology, Gachon University Gil Medical Center, Namdong-gu, Incheon, Korea.
Nam
Dong Heun
DH
Kim
Yeon Suk
YS
Paik
Hae Jung
HJ
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
D000900:Anti-Bacterial Agents