Indian Journal of Critical Care Medicine

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VOLUME 21 , ISSUE 3 ( 2017 ) > List of Articles

CASE REPORT

Metastatic Endogenous Endophthalmitis: A Rare Presentation with Methicillin-resistant Staphylococcus aureus Prostatic Abscess

Mrugank M. Bhavsar, T.V. Devarajan, P. Senthur Nembi, Ashwin K. Mani

Keywords : methicillin-resistant Staphylococcus aureus, prostatic abscess, transrectal ultrasound, vancomycin,Endophthalmitis

Citation Information : Bhavsar MM, Devarajan T, Nembi PS, Mani AK. Metastatic Endogenous Endophthalmitis: A Rare Presentation with Methicillin-resistant Staphylococcus aureus Prostatic Abscess. Indian J Crit Care Med 2017; 21 (3):172-175.

DOI: 10.4103/ijccm.IJCCM_375_16

License: CC BY-ND 3.0

Published Online: 00-03-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A 62-year-old male with the previous history of uncontrolled diabetes and hypertension on irregular treatment presented with a history of fever, dysuria, and urinary retention with progressive painful loss of vision over a period of 2 days. His eye examination showed hypopyon, and he was diagnosed to have rapidly progressive endogenous endophthalmitis. He was started on vancomycin and piperacillin-tazobactam empirically. His blood and urine cultures grew methicillin-resistant Staphylococcus aureus (MRSA). Transesophageal echocardiography ruled out infective endocarditis. Intravitreal injection of vancomycin and ceftazidime was given. Vitreous culture also grew MRSA. A workup for possible source revealed multiple prostatic abscesses on the transrectal ultrasound. Antibiotic was changed to daptomycin in view of high vancomycin minimum inhibitory concentration. His vision was improved at the time of discharge.


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