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Open Access Highly Accessed Case report

Self-induced Elizabethkingia meningoseptica endophthalmitis: a case report

Paul P Connell12*, Sanj Wickremasinghe12, Uma Devi3, Mary Jo Waters3 and Penelope J Allen2

Author Affiliations

1 Centre for Eye Research Australia, The Royal Victorian Eye and Ear Hospital, University of Melbourne, 32 Gisborne Street, East Melbourne, Victoria 3002, Australia

2 Vitreo-Retinal Unit, The Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, Victoria 3002, Australia

3 Department of Microbiology, St Vincent's University Hospital, Melbourne, Victoria 3065, Australia

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Journal of Medical Case Reports 2011, 5:303  doi:10.1186/1752-1947-5-303

Published: 11 July 2011

Abstract

Introduction

Endophthalmitis is a sight-threatening condition defined as any inflammation of the internal ocular spaces. It is classified as either endogenous or exogenous depending on the route of infection. Exogenous endophthalmitis results from direct inoculation as a complication of intra-ocular surgery, penetrating ocular trauma, intra-ocular foreign bodies, corneal ulceration and following a breach of ocular barriers from a periocular infection. We report a rare case of exogenous endophthalmitis with both unusual etiology and microbiology.

Case presentation

A 41-year-old Caucasian man with a history of depressive illness presented to our eye department with painful acute visual loss on a background history of chronic uveitis. Ocular examination revealed a dense fibrinous panuveitis with a suspicion of a focal lesion in the posterior segment. Microbiological sampling from his anterior chamber and posterior segment revealed a culture of Elizabethkingia meningoseptica. On closer questioning, he volunteered the occurrence of multiple episodes of deliberate needle ocular penetration. Following vitrectomy for associated retinal detachment, a final Snellen visual acuity of 6/60 was obtained.

Conclusions

Elizabethkingia meningoseptica endophthalmitis is a rare condition, and visual results to date are poor.