Document Detail

Endogenous Serratia marcescens endophthalmitis with dark hypopyon: case report and review.
MedLine Citation:
PMID:  11738433     Owner:  NLM     Status:  MEDLINE    
A case of endogenous Serratia marcescens endophthalmitis in a patient with diabetes, end-stage renal disease, and an indwelling venous catheter is reported. The patient presented with a tan hypopyon and elevated intraocular pressure. Diagnosis was established by positive blood, vitreous, conjunctival, and catheter tip cultures. After a deteriorating course the eye was enucleated. Gross and histopathologic examination revealed the presence of a dark hypopyon with iris necrosis and pigment dispersion and possible spontaneous globe perforation. This is the eleventh reported case of endogenous Serratia endophthalmitis. Previous association of a pink hypopyon and of pigmented vitreous fluid and Serratia endophthalmitis has been reported. This is the first case of dark hypopyon in endogenous Serratia marcescens endophthalmitis reported in the medical literature. Previous entities associated with dark hypopyon have been limited to intraocular melanoma and Listeria monocytogenes endophthalmitis. Dark hypopyon in the appropriate clinical setting may be useful in aiding diagnostic and therapeutic decisions.
R A Equi; W R Green
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Survey of ophthalmology     Volume:  46     ISSN:  0039-6257     ISO Abbreviation:  Surv Ophthalmol     Publication Date:    2001 Nov-Dec
Date Detail:
Created Date:  2001-12-13     Completed Date:  2002-01-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404551     Medline TA:  Surv Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-68     Citation Subset:  IM    
The Wilmer Ophthalmological Institute and Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD 21287-9248, USA.
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MeSH Terms
Anterior Chamber / pathology
Endophthalmitis / diagnosis,  microbiology*,  surgery
Exfoliation Syndrome / diagnosis,  microbiology
Eye Enucleation
Eye Infections, Bacterial* / diagnosis,  microbiology,  surgery
Intraocular Pressure
Iris / pathology
Middle Aged
Serratia Infections* / diagnosis,  microbiology,  surgery
Serratia marcescens / isolation & purification*
Suppuration / diagnosis,  microbiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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