Case Report

SAME Is Different: A Case Report and Literature Review of Staphylococcus aureus Metastatic Endophthalmitis

Authors: Neil A. Nixdorff MPH, MA, Johnny Tang MD, Ronda Mourad MD, Marion J. Skalweit MD, PhD

Abstract

Abstract:We present a case of methicillin-sensitive Staphylococcus aureus metastatic endophthalmitis (SAME) that developed from a bacteremia. We compare this to a literature review of similar cases and report unique characteristics of SAME. We discuss important considerations in the work-up and treatment of endogenous endophthalmitis.

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References

References1.Keswani T, Ahuja V, Changulani M. Evaluation of outcome of various treatment methods for endogenous endophthalmitis. Indian J Med Sci 2006;60:454–460.KeswaniT]]AhujaV]]ChangulaniMEvaluation of outcome of various treatment methods for endogenous endophthalmitis.Indian J Med Sci200660454-4602.Okada AA, Johnson RP, Liles WC, et al. Endogenous bacterial endophthalmitis. Report of a ten-year retrospective study. Ophthalmology 1994;101:832–838.OkadaAA]]JohnsonRP]]LilesWC&etal;Endogenous bacterial endophthalmitis. Report of a ten-year retrospective study.Ophthalmology1994101832-8383.Wong JS, Chan TK, Lee HM, et al. Endogenous bacterial endophthalmitis: an east asian experience and a reappraisal of a severe ocular affliction. Ophthalmology 2000;107:1483–1491.WongJS]]ChanTK]]LeeHM&etal;Endogenous bacterial endophthalmitis: an east asian experience and a reappraisal of a severe ocular affliction.Ophthalmology20001071483-14914.Jackson TL, Eykyn SJ, Graham EM, et al. Endogenous bacterial endophthalmitis: a 17-year prospective series and review of 267 reported cases. Surv Ophthalmol 2003;48:403–423.JacksonTL]]EykynSJ]]GrahamEM&etal;Endogenous bacterial endophthalmitis: a 17-year prospective series and review of 267 reported cases.Surv Ophthalmol200348403-4235.Greenwald MJ, Wohl LG, Sell CH. Metastatic bacterial endophthalmitis: a contemporary reappraisal. Surv Ophthalmol 1986;31:81–101.GreenwaldMJ]]WohlLG]]SellCHMetastatic bacterial endophthalmitis: a contemporary reappraisal.Surv Ophthalmol19863181-1016.Callegan MC, Booth MC, Jett BD, et al. Pathogenesis of gram-positive bacterial endophthalmitis. Infect Immun 1999;67:3348–3356.CalleganMC]]BoothMC]]JettBD&etal;Pathogenesis of gram-positive bacterial endophthalmitis.Infect Immun1999673348-33567.Agrawal P, Yellachich D, Kirkpatrick N. Retinal detachment following meningococcal endophthalmitis. Eye 2007;21:450–451.AgrawalP]]YellachichD]]KirkpatrickNRetinal detachment following meningococcal endophthalmitis.Eye200721450-4518.Results of the Endophthalmitis Vitrectomy Study. A randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Endophthalmitis Vitrectomy Study Group. Arch Ophthalmol 1995;113:1479–1496.Results of the Endophthalmitis Vitrectomy StudyA randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Endophthalmitis Vitrectomy Study Group.Arch Ophthalmol19951131479-14969.De Kaspar HM, Ta CN, Engelbert M, et al. Effects of intravitreal corticosteroid in the treatment of Staphylococcus aureus-induced experiment endophthalmitis. Retina 2008;28:326–332.De KasparHM]]TaCN]]EngelbertM&etal;Effects of intravitreal corticosteroid in the treatment of Staphylococcus aureus-induced experiment endophthalmitis.Retina200828326-33210.Yoshizumi MO, Lee GC, Equi RA, et al. Timing of dexamethasone treatment in experimental Staphylococcus aureus endophthalmitis. Retina 1998;18:130–135.YoshizumiMO]]LeeGC]]EquiRA&etal;Timing of dexamethasone treatment in experimental Staphylococcus aureus endophthalmitis.Retina199818130-13511.Benz MS, Scott IU, Flynn HW Jr, et al. Endophthalmitis isolates and antibiotic sensitivities: a 6-year review of culture-proven cases. Am J Ophthalmol 2004;137:38–42.BenzMS]]ScottIU]]FlynnHWJr&etal;Endophthalmitis isolates and antibiotic sensitivities: a 6-year review of culture-proven cases.Am J Ophthalmol200413738-4212.Okhravi N, Towler HM, Hykin P, et al. Assessment of a standard treatment protocol on visual outcome following presumed bacterial endophthalmitis. Br J Ophthalmol 1997;81:719–725.OkhraviN]]TowlerHM]]HykinP&etal;Assessment of a standard treatment protocol on visual outcome following presumed bacterial endophthalmitis.Br J Ophthalmol199781719-72513.Mermel LA, Farr BM, Sheretz RJ, et al. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis 2001;32:1249– 1272.MermelLA]]FarrBM]]SheretzRJ&etal;Guidelines for the management of intravascular catheter-related infections.Clin Infect Dis2001321249- 127214.Blyth CC, Darragh H, Whelan A, et al. Evaluation of clinical guidelines for the management of Staphylococcus aureus bacteraemia. Intern Med J 2002;32:224–232.BlythCC]]DarraghH]]WhelanA&etal;Evaluation of clinical guidelines for the management of Staphylococcus aureus bacteraemia.Intern Med J200232224-232