Orbital cellulitis and endogenous endophthalmitis secondary to Proteus mirabilis cholecystitis.
We report the first case of orbital cellulitis and endogenous endophthalmitis secondary to Proteus mirabilis bacteremia that resulted from a calculus cholecystitis. Despite resolution of the gallbladder infection with antimicrobial therapy, the patient required evisceration of the affected eye. The pathogenesis of hematogenous endophthalmitis due to Gram-negative bacilli is discussed.
Argelich
Roger
R
Department of Internal Medicine and Infectious Diseases, University Hospital Sagrat Cor, 08029 Barcelona, Spain. argelich3@yahoo.es
Ibáñez-Flores
Nuria
N
Bardavio
Javier
J
Burés-Jelstrup
Anniken
A
García-Segarra
Glòria
G
Coll-Colell
Rosa
R
Cuadrado
Vanesa
V
Fernández-Monrás
Francesc
F
D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D002764:Cholecystitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D009877:Endophthalmitis / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D054517:Orbital Cellulitis / Q000382:microbiology* / Q000601:surgery; D011512:Proteus Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011513:Proteus mirabilis / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents