Rhegmatogenous retinal detachment after a lower extremity dog bite: a case report.
BACKGROUND
The occurrence of endogenous endophthalmitis is well known in the settings of bacteremia or candidemia, although its association with rhegmatogenous retinal detachment remains unclear.


METHODS
We present a case of rhegmatogenous retinal detachment in a 39 year old man who presented with acute vision loss six weeks after a lower extremity dog bite. Further workup revealed oxacillin resistant staphylococcus aureus bacteremia with multiple septic emboli to various organs including bilateral loculated pleural effusion, left renal abscess, left obturator abscess, and right eye endogenous endophthalmitis.


CONCLUSIONS
Our case illustrates an interesting presentation of oxacillin resistant staphylococcus aureus bacteremia after a dog bite, where endogenous endophthalmitis and rhegmatogenous retinal detachment were part of the manifestations. Early diagnosis and intervention are crucial to preserve the visual acuity.
University of Southern California and Doheny Eye Institute, Los Angeles, California 90033, USA. tarekalasil@hotmail.com.
Tarek
T
Alasil
Sam
S
Eljammal
Richard
R
Scartozzi
Dean
D
Eliott