A Case of Bilateral Endogenous Enterococcus Faecalis Endophthalmitis in Liver Abscess

Ji Hye Song; In Young Chung; Jong Moon Park

doi:10.3341/jkos.2007.48.9.1291

Journal List > J Korean Ophthalmol Soc > v.48(9) > 1007931

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Song, Chung, and Park: A Case of Bilateral Endogenous Enterococcus Faecalis Endophthalmitis in Liver Abscess

Original Article

J Korean Ophthalmol Soc 2007;48(9):1291-1296.

Published online: 30 August 2007

DOI: https://doi.org/10.3341/jkos.2007.48.9.1291

A Case of Bilateral Endogenous Enterococcus Faecalis Endophthalmitis in Liver Abscess

Ji Hye Song, M.D., In Young Chung, M.D., Jong Moon Park, M.D.

Department of Ophthalmology, Gyeongsang National University, College of Medicine, Chinju, Korea

Address reprint requests to Jong Moon Park, M.D., Department of Ophthalmology, College of Medicine, Gyeongsang National University, #92 Chilam-dong, Chinju, Gyeongnam 660-280, Korea, Tel: 82-55-750-8170, Fax: 82-55-758-4158, E-mail: parkjm@gnu.kr

Received 4 January 2007 Accepted 29 May 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of bilateral endogenous Enterococcus faecalis endophthalmitis in liver abscess.

Methods

The patient was transferred for bilateral endophthalmitis because she had decreased bilateral visual acuity for three days. We performed bilateral pars plana vitrectomy, lensectomy, and intravitreal antibiotic injection. We determined the presence of Enterococcus faecalis in vitreous culture and liver abscess using abdomen computerized tomography.

Results

Thirty-four days after the operation, she was discharged with both eyes with flat retina and filled with silicone oil. Her vision was poor.

Conclusions

Bilateral endogenous Enterococcus faecalis endophthalmitis has rapid progression and a poor visual prognosis.

Keywords: Enterococcus faecalis, Endogenous endophthalmitis, Liver abscess

References

1. Wong JS, Chan TK, Lee HM, Chee SP. Endogenous bacterial endophthalmitis: an east Asian experience and a reappraisal of a severe ocular affliction. Ophthalmology. 2000; 107:1483–91.

2. Lee SJ, Lee MA, Kwak HU. Clinical aspect of bacterial endogenous endophthalmitis. J Korean Ophthalmol Soc. 2000; 41:112–8.

3. Shim JH, Chung IY, Park JM. A case of endophthalmitis associated with V. vulnificus septicemia. J Korean Ophthalmol Soc. 2004; 45:686–90.

4. Oh TS, Ahn Y, Chang SD, Lee YK. A case of endogenous endophthalmitis caused by Klebsiella pneumoniae from emphysematous pyelonephritis. J Korean Ophthalmol Soc. 2002; 43:1330–4.

5. Lee SM, Lee JH. A case of Enterococcus faecalis endophthalmitis with corneal ulcer. J Korean Ophthalmol Soc. 2004; 18:175–9.

6. Bae JH, Lee SS. A case of Enterococcus faecalis endophthalmitis following ECCE. J Korean Ophthalmol Soc. 1994; 35:70–3.

7. Kim US, Yu SY, Kwak HW. Two cases of Enterococcus faecalis endophthalmitis. J Korean Ophthalmol Soc. 2003; 44:523–8.

8. Lee YH, Choi SJ, Kim IC, Chung YT. A case of the bilateral metastatic endophthalmitis. J Korean Ophthalmol Soc. 1995; 36:2048–53.

9. Byun YC, Lee H, Lee EK, Lee KW. A case of metastatic enophthalmitis originated from bacterial endocarditis. J Korean Ophthalmol Soc. 1994; 35:122–7.

10. Shim HS, Lee SS, Park JM, Song JK. Three cases of the metastatic endophthalmitis. J Korean Ophthalmol Soc. 1994; 35:350–5.

11. Chou FF, Kou HK. Endogenous endophthalmitis associated with pyogenic hepatic abscess. J Am Coll Surg. 1996; 182:33–6.

12. Cahill M, Chang B, Murray A. Bilateral endogenous bacterial endophthalmitis associated with pyogenic hepatic abscess. Br J Ophthalmol. 2000; 84:1436.

13. La TU, Kim CW, Lee JS. A case of endogenous endophthalmitis accompanying orbital cellulitis caused by Klebsiella pneumoniae from liver abscess. J Korean Ophthalmol Soc. 2000; 41:1000–5.

14. Tan YM, Chong CK, Chow PK. Pyogenic liver abscess complicated by endogenous endophthalmitis. ANZ J Surg. 2001; 71:744–6.

15. Jett BD, Jensen HG, Atkuri RV, Gilmore MS. Evaluation to therapeutic measures for treating endophthalmitis caused by isogenic toxin-producing and toxin-non producing Enterococcus faecalis strains. Invest Ophthalmol Vis Sci. 1995; 36:9–15.

16. Uchio E, Inamura M, Okada K, et al. A case of endogenous Enterococcus faecalis endophthalmitis. Jpn J Ophthalmol. 1992; 36:215–21.

17. Uchio E, Saeki K, Inamura M, et al. A case of metastatic Enterococcus faecalis endophthalmitis. Nippon Ganka Gakkai Zasshi. 1991; 95:601–6.

18. Esmaeli Bita, Holz ER, Ahmadi MA, et al. Endogenous endophthalmitis secondary to vancomycin-resistant enterococcal infection. Retina. 2003; 23:118–9.

19. Dua S, Chalermskulrat W, Millert MB, et al. Bilateral hematogenous Pseudomonas aeruginosa endophthalmitis after lung transplantation. Am J Transplant. 2006; 6:219–24.

20. Arroyo JG, Bula DV, Grant CA, Murtha T. Bilateral Candida albicans endophthal mitis. associted with an infected deep venous thrombus. Jpn J Ophthalmol. 2004; 48:30–3.

21. Liao SB, Yang KJ, Lai CC, et al. Bilateral endogenous Klebsiella pneumoniae endophthalmitis associated with meningitis-useful vision regained after treatment: case report. Chang Gung Med J. 2000; 23:566–71.

22. Walmsley RS, David DB, Allan RN, Kirkby GR. Bilateral endogenous E.coli endophthalmitis: a devastating complication in an insulin-dependent diabetic. Postgrad Med J. 1996; 72:361–3.

Figure 1.

Anterior segment photographs at the first visit. (A) Hypopyon and inflammatory membrane are seen in the anterior chamber of the right eye, (B) Hypopyon and inflammatory membrane are seen in anterior chamber of the left eye.

Figure 2.

The ultrasonographic findings at the first visit. (A) Vitreous opacity and inflammatory membrane are seen in the right eye, (B) Vitreous opacity and inflammatory membrane are seen in the left eye.

Figure 3.

Anterior segment photographs on the 12th postoperative day. (A) Less inflammatory membranes are seen in the anterior chamber of the right eye, (B) No hypopyon and less inflammatory membranes are seen in the anterior chamber of the left eye.

Figure 4.

Fundus photographs on the 21st postoperative days. (A) Pale disc with blurred margin, inflammatory membranes, and vascular occlusion are seen in the right eye. (B) Pale disc, inflammatory membranes, and vascular occlusion are seen in the left eye.

TOOLS

Similar articles