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Article: Pseudomonas aeruginosa choroidal abscess in a patient with bronchiectasis

TitlePseudomonas aeruginosa choroidal abscess in a patient with bronchiectasis
Authors
KeywordsBronchiectasis
Choroidal abscess
Endogenous endophthalmitis
Polymerase chain reaction
Pseudomonas aeruginosa
Issue Date2008
PublisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0165-5701
Citation
International Ophthalmology, 2008, v. 28 n. 4, p. 287-290 How to Cite?
AbstractPurpose: To report a case of Pseudomonas aeruginosa endophthalmitis with choroidal abscess formation in a patient with bronchiectasis. Methods: Case report. Results: A 75-year-old gentleman with bronchiectasis and P. aeruginosa pneumonia developed painless loss of right eye vision. The patient had previously undergone bronchoscopy to exclude pulmonary neoplasm. Slit-lamp examination revealed intense anterior chamber inflammation with hypopyon and B-scan ophthalmic ultrasound showed a choroidal mass consistent with choroidal abscess. Systemic and topical antibiotics did not prevent further progression of the infection. Patient declined pars plana vitrectomy and opted for enucleation. Polymerase-chain-reaction-based restriction fragment-length polymorphism (PCR-RFLP) of the enucleated eye confirmed P. aeruginosa to be the causative organism. Conclusion: P. aeruginosa cannot be completely eradicated by systemic antibiotics, and bronchial colonization of P. aeruginosa can remain a potential source for metastatic infection. P. aeruginosa choroidal abscess, previously reported only in patients with cystic fibrosis, can also occur in bronchiectasis. Physicians should therefore have a high index of suspicion of endogenous endophthalmitis and treat aggressively, especially in patients with subretinal invasion and abscess formation. © Springer Science+Business Media B.V. 2007.
Persistent Identifierhttp://hdl.handle.net/10722/138165
ISSN
2015 Impact Factor: 0.959
2015 SCImago Journal Rankings: 0.526
References

 

DC FieldValueLanguage
dc.contributor.authorLi, KKWen_HK
dc.contributor.authorTang, EWHen_HK
dc.contributor.authorLai, JSMen_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2011-08-26T14:42:12Z-
dc.date.available2011-08-26T14:42:12Z-
dc.date.issued2008en_HK
dc.identifier.citationInternational Ophthalmology, 2008, v. 28 n. 4, p. 287-290en_HK
dc.identifier.issn0165-5701en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138165-
dc.description.abstractPurpose: To report a case of Pseudomonas aeruginosa endophthalmitis with choroidal abscess formation in a patient with bronchiectasis. Methods: Case report. Results: A 75-year-old gentleman with bronchiectasis and P. aeruginosa pneumonia developed painless loss of right eye vision. The patient had previously undergone bronchoscopy to exclude pulmonary neoplasm. Slit-lamp examination revealed intense anterior chamber inflammation with hypopyon and B-scan ophthalmic ultrasound showed a choroidal mass consistent with choroidal abscess. Systemic and topical antibiotics did not prevent further progression of the infection. Patient declined pars plana vitrectomy and opted for enucleation. Polymerase-chain-reaction-based restriction fragment-length polymorphism (PCR-RFLP) of the enucleated eye confirmed P. aeruginosa to be the causative organism. Conclusion: P. aeruginosa cannot be completely eradicated by systemic antibiotics, and bronchial colonization of P. aeruginosa can remain a potential source for metastatic infection. P. aeruginosa choroidal abscess, previously reported only in patients with cystic fibrosis, can also occur in bronchiectasis. Physicians should therefore have a high index of suspicion of endogenous endophthalmitis and treat aggressively, especially in patients with subretinal invasion and abscess formation. © Springer Science+Business Media B.V. 2007.en_HK
dc.languageengen_US
dc.publisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0165-5701en_HK
dc.relation.ispartofInternational Ophthalmologyen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectBronchiectasisen_HK
dc.subjectChoroidal abscessen_HK
dc.subjectEndogenous endophthalmitisen_HK
dc.subjectPolymerase chain reactionen_HK
dc.subjectPseudomonas aeruginosaen_HK
dc.subject.meshAbscess - diagnosis - microbiology - surgery-
dc.subject.meshBronchiectasis - diagnosis - microbiology - surgery-
dc.subject.meshChoroid Diseases - diagnosis - microbiology - surgery-
dc.subject.meshEye Infections, Bacterial - diagnosis - microbiology - surgery-
dc.subject.meshPseudomonas Infections - diagnosis - microbiology - surgery-
dc.titlePseudomonas aeruginosa choroidal abscess in a patient with bronchiectasisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0165-5701&volume=28&issue=4&spage=287&epage=290&date=2008&atitle=Pseudomonas+aeruginosa+choroidal+abscess+in+a+patient+with+bronchiectasis-
dc.identifier.emailLai, JSM: laism@hku.hken_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityLai, JSM=rp00295en_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10792-007-9126-xen_HK
dc.identifier.pmid17687520-
dc.identifier.scopuseid_2-s2.0-47949129722en_HK
dc.identifier.hkuros191488en_US
dc.identifier.hkuros134286-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-47949129722&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume28en_HK
dc.identifier.issue4en_HK
dc.identifier.spage287en_HK
dc.identifier.epage290en_HK
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridLi, KKW=7404990010en_HK
dc.identifier.scopusauthoridTang, EWH=7006462058en_HK
dc.identifier.scopusauthoridLai, JSM=7401939748en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK

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