Menigococcal endophthalmitis: A rare cause of endogenous endophthalmitis. (2020)

• Record Type: Journal Article
• Authors: Páez Guillán, Emilio Manuel; Macía-Rodríguez, Cristina; Villafranca, Alba García; Martínez Rey, María del Carmen; Novo-Veleiro, Ignacio
• Is Part Of: IDCases. Volume 22(2020)
• Publication Date: 2020
• Subjects: Endophthalmitis -- Meningococcal -- Endogenous -- Infection; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2020.e00997
• Languages: English
• ISSNs: 2214-2509

Abstract

Highlights: Neisseria Meningitidis is a rare cause of endogenous endophthalmitis, which is potentially severe. Meningococcal endophthalmitis is a disease that may provoke sequels such as loss of visual acuity and retinal detachment uspiction is necessary to make a diagnostic and perform an early antimicrobial treatment, thus reducing complications. Abstract: Neisseria meningitidis is a rare but severe cause of endogenous endophthalmitis. We report a case of a 46-year-old woman who presented an endophthalmitis secondary to an infection by Neisseria meningitidis that caused with meningitis. She was treated with corticosteroids and systemic and topical antimicrobials, but she presented loss of visual acuity as a consequence. We also review the cases reported in medical literature, and find out that 75.7 % of patients presented diverse complications. The prevalence of complications is higher in patients who received local treatment in combination with antibiotics. Patients who received corticosteroids as treatment presented a similar rate of complications than patients who did not.