Actinomyces endogenous endophthalmitis in a cat following multiple dental extractions. (2nd January 2013)

• Record Type: Journal Article
• Authors: Westermeyer, Hans D.; Ward, Daniel A.; Whittemore, Jacqueline C.; Lyons, Jeremiah A.
• Is Part Of: Veterinary ophthalmology. Volume 16:Number 6(2013)
• Page Start: 459
• Page End: 463
• Publication Date: 2013-01-02
• Subjects: actinomyces -- bacteremia -- endophthalmitis -- endogenous -- periodontal disease -- uveitis; Veterinary ophthalmology -- Periodicals; 636.08977
• DOI: 10.1111/vop.12023
• Languages: English
• ISSNs: 1463-5216

Abstract

Abstract: An 8‐year‐old, brachycephalic, mixed breed cat underwent full mouth tooth extractions for the treatment of tooth root abscessation. Subsequently, the cat developed anterior uveitis refractory to topical therapy that eventually necessitated enucleation. Actinomyces species were isolated from both the tooth root abscesses and the anterior chamber after enucleation. Histopathology of the enucleated eye revealed panophthalmitis with abundant intralesional bacteria morphologically consistent with Actinomyces . Between the time of tooth root extraction and enucleation (20 weeks), the cat was diagnosed with hyperthyroidism and treated with oral steroids for inflammatory bowel syndrome. We believe this report represents a rare case of endogenous endophthalmitis secondary to dental disease, possibly precipitated by concurrent immunosuppression.