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Bacillus cereus Endophthalmitis Secondary to Self-inflicted Periocular Injection
Arch Ophthalmol. 2000;118:1585-1586.
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Endophthalmitis is an ocular emergency that can have a devastating outcome. The poor prognosis is often related to rapid progression of the disease process and a relative delay in diagnosis due to the wide array of clinical symptoms and signs.1 Although endophthalmitis is most often related to surgical intervention, endogenous sources are identified in 2% to 15% of cases.1 Intravenous drug-related endophthalmitis is most commonly caused by Bacillus cereus.2-3 We report a case of B cereus endophthalmitis secondary to periorbital drug injection that resulted in spontaneous lens subluxation. This case underscores the difficulty in making an expeditious diagnosis when there is an uncertain medical history.
Report of a Case
A 29-year-old male prison inmate had a 12-hour history of vomiting associated with pain, redness, and impaired vision of the left eye. The patient denied trauma and drug abuse. Medical history was remarkable for active interferon therapy for hepatitis C. The right eye was . . . [Full Text of this Article]
Comment
Douglas M. Blackmon, BA;
Harold M. Calvert, MD;
Paul M. Henry, MD;
Christopher T. Westfall, MD
Little Rock, Ark
Corresponding author: Christopher T. Westfall, MD, Department of Ophthalmology, University of Arkansas for Medical Sciences, 4301 W Markham St, Mail Slot #523, Little Rock, AR 72205 (e-mail: westfallchristopher@exchange.uams.edu).
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