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Metastatic Endophthalmitis due to Salmonella typhimurium

Metastatic Endophthalmitis due to Salmonella typhimurium Abstract • A 48-year-old man with chronic lymphocytic leukemia had endophthalmitis as the first sign of generalized sepsis due to Salmonella typhimurium. The organism grew from the anterior chamber aspirate as well as from the blood cultures. The eye required enucleation, and pathologically identifiable organisms were present in the vitreous cavity. To our knowledge, a case of metastatic endophthalmitis due to S typhimurium has not been previously reported. Salmonella is an opportunistic organism and should be considered in cases of endophthalmitis occurring in an immunocompromised host. References 1. Duke-Elder S: System of Ophthalmology, vol 9, in Diseases of the Uveal Tract . St Louis, CV Mosby Co, 1966, p 235. 2. James EH, O'Day DM, Gutow GS, et al: Mycotic endophthalmitis in drug abusers . Am J Ophthalmol 1979;88:66-72. 3. Palmer EA: Endogenous Candida endophthalmitis in infants . Am J Ophthalmol 1980;89:388-395. 4. Edwards JE Jr, Foos RY, Montgomerie JZ, et al: Ocular manifestations of Candida septicemia: Review of 76 cases of Candida endophthalmitis . Medicine 1974;53:47-75.Crossref 5. Fishman LD, Griffin JR, Sapico FL, et al: Hematogenous Candida endophthalmitis: A complication of candidemia . N Engl J Med 1972;286:675-681.Crossref 6. Michelson PD, Stark W, Reeser F, et al: Endogenous Candida endophthalmitis . Int Ophthalmol Clin 1971;11:125-147. 7. Macoul KL: Pneumococcal septicemia presenting as a hypopyon . Arch Ophthalmol 1969;81:144-145.Crossref 8. Almeda EM: Metastatic pneumococci endophthalmitis . Am J Ophthalmol 1960;49:353-355. 9. Dunphy EB: Ocular complications of cerebrospinal meningitis . Arch Ophthalmol 1936;15:118-124.Crossref 10. Hedges TR Jr, McAllister R, Coriell LL, et al: Metastatic endophthalmitis as a complication of meningitis . Arch Ophthalmol 1956;55:503-505.Crossref 11. Haider S: Metastatic endophthalmitis: A rare complication of meningococcal meningitis . Postgrad Med J 1974;49:63.Crossref 12. Walker CB, Fenwick P: Bilateral fulminating endophthalmitis with streptococcal septicemia . Br J Ophthalmol 1964;46:281-284.Crossref 13. Frantz JF, Lemp MA, Font RL, et al: Acute endogenous panophthalmitis caused by Clostridium perfringens . Am J Ophthalmol 1974;78:295-303. 14. Gamel JW, Allensmith MR: Metastatic staphylococcal endophthalmitis presenting as chronic iridocyclitis . Am J Ophthalmol 1974;77:454-458. 15. Ballen PH, Loffredo FR, Painter B, et al: Listeria endophthalmitis . Arch Ophthalmol 1979;97:101-102.Crossref 16. Levine J: Metastatic Bacillus coli panophthalmitis from calculus pyonephrosis . Arch Ophthalmol 1930;3:410-412.Crossref 17. Taylor JRW, Cibis GW, Hambil LW, et al: Endophthalmitis complicating Haemophilus influenzae, type B meningitis . Arch Ophthalmol 1980;98:324-326.Crossref 18. Smolin G: Proteus endophthalmitis . Arch Ophthalmol 1974;91:419-420.Crossref 19. May RM, Peyman GA, Raichand M, et al: Metastatic Peptostreptococcus intermedius endophthalmitis after a dental procedure . Am J Ophthalmol 1978;85:662-665. 20. Rubin RH, Weinstein L: Clinical features of salmonellosis , in Salmonellosis: Microbiologic, Pathologic, and Clinical Features . New York, Stratton Intercontinental Medical Book Corp, 1977, pp 43-94. 21. Saphra I, Winter JW: Clinical manifestations of salmonellosis in man: An evaluation of 7,779 human infections identified at the New York Salmonella Center . N Engl J Med 1957;256:1128-1134.Crossref 22. Hook EW, Campbell CB, Weens HS, et al: Salmonella osteomyelitis in patients with sickle cell anemia . N Engl J Med 1957;257:403-407.Crossref 23. Black PH, Kunz LJ, Swartz MN, et al: Salmonellosis: A review of some unusual aspects . N Engl J Med 1960;262:811-817, 864, 870, 921-927.Crossref 24. West SE, Goodkin R, Kaplan AM, et al: Neonatal Salmonella meningitis complicated by cerebral abscesses . West J Med 1977;127:142-144. 25. Qadri SMH, Berotte JH, Wende RD, et al: Salmonella heidelberg as a causative agent of meningitis . Tex Med 1976;72( (12) ):56-57. 26. Shanson DC, Brigden W, Weaver EJM, et al: Salmonella enteritidis endocarditis . Br Med J 1977;1:612-613.Crossref 27. Weiss W, Eisenberg GM, Flippin HF, et al: Salmonella pleuropulmonary disease . Am J Med Sci 1957;233:487-496.Crossref 28. Kanwar YS, Malhotra V, Andersen BR, et al: Salmonellosis associated with abdominal aortic aneurysm . Arch Intern Med 1974;134:1095-1098.Crossref 29. Wolfe MS, Armstrong D, Louria DB, et al: Salmonellosis in patients with neoplastic disease . Arch Intern Med 1971;128:546-554.Crossref 30. Miller SP, Shanbrom E: Infectious syndromes of leukemias and lymphomas . Am J Med Sci 1963;80:420-428.Crossref 31. Sinkovics JG, Smith JP: Salmonellosis complicating neoplastic diseases . Cancer 1969:24:631-636.Crossref 32. MacCready RA, Reardon JP, Saphra I, et al: Salmonellosis in Massachusetts: A 16-year experience . N Engl J Med 1957;256:1121-1128.Crossref 33. Cherubin CE, Fodor T, Denmark LI, et al: The epidemiology of salmonellosis in New York City . Am J Epidemiol 1969;90:112-125. 34. Kaye D, Gill FA, Hook EW, et al: Factors influencing host resistance to Salmonella infections: The effects of hemolysis and erythrophagocytosis . Am J Med Sci 1967;254:205-215.Crossref 35. Cuadra M: Salmonellosis complication in human bartonellosis . Tex Rep Biol Med 1956;14:97-113. 36. Bennett IL, Hook EW: Infectious diseases (some aspects of salmonellosis) . Ann Rev Med 1959;10:1-20.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Metastatic Endophthalmitis due to Salmonella typhimurium

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1982.01030030295013
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 48-year-old man with chronic lymphocytic leukemia had endophthalmitis as the first sign of generalized sepsis due to Salmonella typhimurium. The organism grew from the anterior chamber aspirate as well as from the blood cultures. The eye required enucleation, and pathologically identifiable organisms were present in the vitreous cavity. To our knowledge, a case of metastatic endophthalmitis due to S typhimurium has not been previously reported. Salmonella is an opportunistic organism and should be considered in cases of endophthalmitis occurring in an immunocompromised host. References 1. Duke-Elder S: System of Ophthalmology, vol 9, in Diseases of the Uveal Tract . St Louis, CV Mosby Co, 1966, p 235. 2. James EH, O'Day DM, Gutow GS, et al: Mycotic endophthalmitis in drug abusers . Am J Ophthalmol 1979;88:66-72. 3. Palmer EA: Endogenous Candida endophthalmitis in infants . Am J Ophthalmol 1980;89:388-395. 4. Edwards JE Jr, Foos RY, Montgomerie JZ, et al: Ocular manifestations of Candida septicemia: Review of 76 cases of Candida endophthalmitis . Medicine 1974;53:47-75.Crossref 5. Fishman LD, Griffin JR, Sapico FL, et al: Hematogenous Candida endophthalmitis: A complication of candidemia . N Engl J Med 1972;286:675-681.Crossref 6. Michelson PD, Stark W, Reeser F, et al: Endogenous Candida endophthalmitis . Int Ophthalmol Clin 1971;11:125-147. 7. Macoul KL: Pneumococcal septicemia presenting as a hypopyon . Arch Ophthalmol 1969;81:144-145.Crossref 8. Almeda EM: Metastatic pneumococci endophthalmitis . Am J Ophthalmol 1960;49:353-355. 9. Dunphy EB: Ocular complications of cerebrospinal meningitis . Arch Ophthalmol 1936;15:118-124.Crossref 10. Hedges TR Jr, McAllister R, Coriell LL, et al: Metastatic endophthalmitis as a complication of meningitis . Arch Ophthalmol 1956;55:503-505.Crossref 11. Haider S: Metastatic endophthalmitis: A rare complication of meningococcal meningitis . Postgrad Med J 1974;49:63.Crossref 12. Walker CB, Fenwick P: Bilateral fulminating endophthalmitis with streptococcal septicemia . Br J Ophthalmol 1964;46:281-284.Crossref 13. Frantz JF, Lemp MA, Font RL, et al: Acute endogenous panophthalmitis caused by Clostridium perfringens . Am J Ophthalmol 1974;78:295-303. 14. Gamel JW, Allensmith MR: Metastatic staphylococcal endophthalmitis presenting as chronic iridocyclitis . Am J Ophthalmol 1974;77:454-458. 15. Ballen PH, Loffredo FR, Painter B, et al: Listeria endophthalmitis . Arch Ophthalmol 1979;97:101-102.Crossref 16. Levine J: Metastatic Bacillus coli panophthalmitis from calculus pyonephrosis . Arch Ophthalmol 1930;3:410-412.Crossref 17. Taylor JRW, Cibis GW, Hambil LW, et al: Endophthalmitis complicating Haemophilus influenzae, type B meningitis . Arch Ophthalmol 1980;98:324-326.Crossref 18. Smolin G: Proteus endophthalmitis . Arch Ophthalmol 1974;91:419-420.Crossref 19. May RM, Peyman GA, Raichand M, et al: Metastatic Peptostreptococcus intermedius endophthalmitis after a dental procedure . Am J Ophthalmol 1978;85:662-665. 20. Rubin RH, Weinstein L: Clinical features of salmonellosis , in Salmonellosis: Microbiologic, Pathologic, and Clinical Features . New York, Stratton Intercontinental Medical Book Corp, 1977, pp 43-94. 21. Saphra I, Winter JW: Clinical manifestations of salmonellosis in man: An evaluation of 7,779 human infections identified at the New York Salmonella Center . N Engl J Med 1957;256:1128-1134.Crossref 22. Hook EW, Campbell CB, Weens HS, et al: Salmonella osteomyelitis in patients with sickle cell anemia . N Engl J Med 1957;257:403-407.Crossref 23. Black PH, Kunz LJ, Swartz MN, et al: Salmonellosis: A review of some unusual aspects . N Engl J Med 1960;262:811-817, 864, 870, 921-927.Crossref 24. West SE, Goodkin R, Kaplan AM, et al: Neonatal Salmonella meningitis complicated by cerebral abscesses . West J Med 1977;127:142-144. 25. Qadri SMH, Berotte JH, Wende RD, et al: Salmonella heidelberg as a causative agent of meningitis . Tex Med 1976;72( (12) ):56-57. 26. Shanson DC, Brigden W, Weaver EJM, et al: Salmonella enteritidis endocarditis . Br Med J 1977;1:612-613.Crossref 27. Weiss W, Eisenberg GM, Flippin HF, et al: Salmonella pleuropulmonary disease . Am J Med Sci 1957;233:487-496.Crossref 28. Kanwar YS, Malhotra V, Andersen BR, et al: Salmonellosis associated with abdominal aortic aneurysm . Arch Intern Med 1974;134:1095-1098.Crossref 29. Wolfe MS, Armstrong D, Louria DB, et al: Salmonellosis in patients with neoplastic disease . Arch Intern Med 1971;128:546-554.Crossref 30. Miller SP, Shanbrom E: Infectious syndromes of leukemias and lymphomas . Am J Med Sci 1963;80:420-428.Crossref 31. Sinkovics JG, Smith JP: Salmonellosis complicating neoplastic diseases . Cancer 1969:24:631-636.Crossref 32. MacCready RA, Reardon JP, Saphra I, et al: Salmonellosis in Massachusetts: A 16-year experience . N Engl J Med 1957;256:1121-1128.Crossref 33. Cherubin CE, Fodor T, Denmark LI, et al: The epidemiology of salmonellosis in New York City . Am J Epidemiol 1969;90:112-125. 34. Kaye D, Gill FA, Hook EW, et al: Factors influencing host resistance to Salmonella infections: The effects of hemolysis and erythrophagocytosis . Am J Med Sci 1967;254:205-215.Crossref 35. Cuadra M: Salmonellosis complication in human bartonellosis . Tex Rep Biol Med 1956;14:97-113. 36. Bennett IL, Hook EW: Infectious diseases (some aspects of salmonellosis) . Ann Rev Med 1959;10:1-20.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1982

References