title: Endogenous endophthalmitis in a patient with diabetes and foot osteomyelitis.
abstract: Endogenous endophthalmitis is a rare condition caused by the hematogenous spread of microorganisms from a remote infection site to the eye. Common predisposing conditions are intravenous drug abuse, diabetes, malignancy, immunosuppression, chronic renal failure, parenteral nutrition or invasive medical procedures. We describe a case of endogenous endophthalmitis in the setting of foot osteomyelitis in a patient with diabetes. A high index of clinical suspicion is required to diagnose this condition early in a patient with diabetes because visual symptoms commonly may be misattributed to retinopathy. Early diagnosis is important.
authors.affiliation: Division of General Internal Medicine, Geneva University Hospitals, Geneva, Switzerland. Electronic address: thomas.mavrakanas@hcuge.ch.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Mavrakanas
authors.affiliation: Division of Ophthalmology, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Raoul
authors.initials: R
authors.lastname: de Haller
authors.affiliation: Division of Endocrinology and Diabetes, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Jacques
authors.initials: J
authors.lastname: Philippe
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D048909:Diabetes Complications / Q000175:diagnosis*; D003920:Diabetes Mellitus / Q000473:pathology; D009877:Endophthalmitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005534:Foot Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D010019:Osteomyelitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D011859:Radiography; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D014640:Vancomycin; D015378:Imipenem
keywords: diabetes mellitus; diabète sucré; endogenous endophthalmitis; endophtalmie endogène; foot osteomyelitis; ostéomyélite du pied