Endogenous endophthalmitis due to Salmonella choleraesuis in an HIV-positive patient.
OBJECTIVE
To report a case of endogenous endophthalmitis caused by the gram-negative bacterium Salmonella choleraesuis as a first sign of HIV infection in a patient from Thailand.


METHODS
Case description and literature review.


RESULTS
A 54-year-old male without systemic complaints developed non-painful panuveitis in his left eye accompanied by high intraocular pressure. On investigation, HIV serology was found positive, and aqueous and blood cultures revealed the bacterium Salmonella choleraesuis. Despite aggressive treatment with antibiotics, the affected eye did not improve, and his visual acuity decreased to no light perception.


CONCLUSIONS
Endogenous endophthalmitis with the non-typhoidal Salmonellae can occur in the absence of systemic symptoms in an immunocompromised host.
Yodprom
Rapeeporn
R
Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Thailand.
Pathanapitoon
Kessara
K
Kunavisarut
Paradee
P
Ausayakhun
Somsanguan
S
Wattananikorn
Sopa
S
Rothova
Aniki
A
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005500:Follow-Up Studies; D006678:HIV / Q000276:immunology*; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D012476:Salmonella arizonae / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents