Spontaneous corneal perforation and endophthalmitis in Pseudomonas aeruginosa infection in a ventilated patient: a case report

Bull Soc Belge Ophtalmol. 2000:276:53-6.

Abstract

We report a case of Pseudomonas keratitis and endophthalmitis after inoculation from the respiratory tract in a mechanically ventilated patient. In these (semi)comatose and more vulnerable patients, colonisation of the upper respiratory tract by Pseudomonas occurs frequently, and this can lead to inoculation of the eyes. Emphasis lies on careful prevention of ocular inoculation and aggressive therapy as soon as keratitis is noticed.

Publication types

  • Case Reports

MeSH terms

  • Corneal Ulcer / microbiology*
  • Corneal Ulcer / therapy
  • Endophthalmitis / microbiology*
  • Endophthalmitis / therapy
  • Humans
  • Male
  • Middle Aged
  • Multiple Organ Failure / complications
  • Multiple Trauma / complications
  • Pseudomonas Infections / microbiology*
  • Pseudomonas Infections / therapy
  • Pseudomonas aeruginosa / isolation & purification*
  • Respiration, Artificial
  • Respiratory Tract Infections / complications*
  • Sepsis / complications