title: [Iris abscess after bacterial endocarditis in a patient with leukaemia. Differential diagnosis].
abstract: OBJECTIVE
  To report a case of iris abscess due to bacterial endocarditis.
  
  
  METHODS
  A 46-year-old male under diagnosis of promielocitic leukemia and endocarditis presented with decreased vision in left eye (OS). Ophthalmic exploration revealed iris abscess and hypopyon with fibrinous exudate in iris of the left eye and tyndall +1 in right eye (OD). Blood culture and anterior chamber paracentesis was positive for methicillin-sensitive Staphylococcus aureus and negative for blastic cells in citology. Treatment with systemic antibiotic was initiated with total resolution of inflammation.
  
  
  CONCLUSIONS
  Iris abscess is an unusual septic focus in bacterial endocarditis. It is crucial to rule out an extramedullary metastasis in a patient with leukemia due to the general prognosis.
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, España. Electronic address: Roslyn_kml@yahoo.es.
authors.forename: R
authors.initials: R
authors.lastname: Manrique Lipa
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, España.
authors.forename: E
authors.initials: E
authors.lastname: González Sánchez
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Asencio Duran
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, España.
authors.forename: P
authors.initials: P
authors.lastname: Gonzalez-Peramato
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Fonseca Santodomingo
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology*; D000867:Anterior Chamber / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016470:Bacteremia / Q000209:etiology; D016026:Bone Marrow Transplantation; D055499:Catheter-Related Infections / Q000150:complications* / Q000382:microbiology; D003131:Combined Modality Therapy; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007500:Iritis / Q000175:diagnosis / Q000209:etiology*; D015473:Leukemia, Promyelocytic, Acute / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D019152:Paracentesis; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Absceso iridiano; Bacterial endocarditis; Endocarditis bacteriana; Iris abscess; Leucemia promielocítica; Promyelocytic leukemia; Septic embolus; Staphylococcus aureus; Émbolo séptico