DR. VINEET SHAH
Dr.Mangilal Garg, Dr. NIDHI PANDEY, Dr.Amrita Verma
Abstract
CASE REPORT:A 29 year male presented with decreased vision in left eye with fever since 7 days. There was no perception of light with corneal edema, exudates in anterior chamber & yellow reflex. CBC, ESR, CRP, blood sugar and blood culture were sent with cardiac assessment. B scan showed exudates in vitreous cavity. Neutrophilia and raised blood sugar levels were noted. Blood culture showed the growth of Citrobacter ferundii. 2D ECHO showed growth on atrial surface. Intravenous, intravitreal and topical antibiotics were started but patient deteriorated.
CONCLUSION:Endogenous endophthalmitis occurs when organisms disseminate hematogenously in the eye from distant focii. The most common organisms causing endogenous endophthalmitis are Klebsiella pneumoniae and E coli. A handful of case studies report association with Citrobacter Ferundii. We also observed a very poor prognosis as reported before.
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