title: Endogenous endophthalmitis and liver abscesses.
abstract: We present a case of endogenous endophthalmitis secondary to liver abscesses, in a patient with no previous medical comorbidities or risk factors for immunosuppression. The patient presented with acute painless loss of vision and feeling generally unwell. Investigations revealed Streptococcus anginosus-constellatus bacteraemia, and evidence of diverticular disease that likely predisposed to the liver abscesses. Due to prompt diagnosis and administration of antibiotics, the patient had a good visual outcome. This case highlights the importance of being aware of endogenous endophthalmitis, as early diagnosis and prompt administration of antibiotics will optimise visual outcomes.
authors.affiliation: Royal Free Hospital, London. s.koay@nhs.net
authors.forename: S
authors.initials: S
authors.lastname: Koay
authors.forename: S
authors.initials: S
authors.lastname: Jain
authors.forename: I
authors.initials: I
authors.lastname: Cropley
authors.forename: H
authors.initials: H
authors.lastname: Petrushkin
authors.forename: H
authors.initials: H
authors.lastname: Beynon
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004359:Drug Therapy, Combination; D004636:Emergency Service, Hospital; D009877:Endophthalmitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D008100:Liver Abscess / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012720:Severity of Illness Index; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents