Rinsho Shinkeigaku (Clinical Neurology)

Case Report

Endogenous endophthalmitis following staphylococcus aureus meningitis

Chigusa Shirakawa, M.D.1)*, Chie Yanagihara, M.D.1), Shin Takano, M.D.1), Yukiko Ishio, M.D.1) and Akiko Mikawa, M.D.2)

Corresponding author: Division of Ophthalmology, Nishi-Kobe Medical Center [5-7-1 Kojidai, Nishiku, Kobe, Hyogo 651-2273, Japan]
1)Division of Neurology, Nishi-Kobe Medical Center
2)Division of Ophthalmology, Nishi-Kobe Medical Center

Endogenous endophthalmitis is a rare complication of acute meningitis. A healthy 82-year-old woman suddenly developed septic bacteremia and meningitis owing to Staphylococcus aureus (methicillin-susceptible Staphylococcus aureus); she presented with a high fever and drowsiness. Improvement of these initial symptoms unveiled impaired bilateral visual acuity. Detailed ophthalmological assessments diagnosed it as probable endogenous endophthalmitis, which was immediately treated with vitrectomy. Subsequently, the patient totally recovered without any neurologic or ophthalmic sequela.
Full Text of this Article in Japanese PDF (299K)

(CLINICA NEUROL, 59: 185|189, 2019)
key words: endophthalmitis, Staphylococcus aureus, bacterial meningitis

(Received: 10-Oct-18)