Endogenous Endophthalmitis Associated with Burn Injuny

Hong, Ji Won; Roh, In Ho; Bae, Sun Ryang

Case Report

Korean Journal of Optometry and Vision Science 2007;6(1):80-84.
Published online December 20, 2007.

전신화상 후 발생된 내인성 안내염

홍지원, 노인호, 배선량

Department of Ophthalmology and Visual Sciences, The Catholic University of Korea College of Medicine, Daejeon, Korea

Endogenous Endophthalmitis Associated with Burn Injuny

Ji Won Hong, In Ho Roh, Sun Ryang Bae

Abstract

Purpose
To report a case of endophthalmitis with multiple organisms developed in a patient who was recently injured by burn. Methods: A 47-year-old woman visited with complaints of decreased binocular visual acuity 12 weeks after third degree burn injury to 30% of body surface. In other hospital, she was diagnosed as uveitis and treated with steroid. After 8 weeks later, the symptoms were not improved and she was refered to our hospital. Ocular examinations showed complicated cataract and vitreous opacities. Cataract surgery and pars plana vitrectomy were carried out and samples of the vitreous aspirate were sent for microbiological studies. Results: The culture of the vitreous of right eye showed Candida tropicalis and the culture of the vitreous of left eye showed Candida tropicalis, Pseudomonas putida and Enterobacter cloacea. She was treated with amphotericin B intravitreously and fluconazole and imipenem B intravenously, but the final visual acuity was no light perception. (Korean J Optom Vis Sci 2007;6(1):80-84)

Key Words: Burn, Candida tropicalis, Endogenous endophthalmitis, Enterobacter cloacea, Pseudomonas putida