Abstract
The authors report a case of a preterm neonate who presented with lid edema, corneal edema, and an inflammatory membrane with whitish exudates in the pupillary area, suggestive of endophthalmitis. There was also a cutaneous ulcer with an eschar on the right wrist at the site of extravasation associated with previous intravenous catheter. Cultures from the ulcer and vitreous samples both grew Serratia marcescens with identical antibiotic sensitivity and resistance patterns. The ocular infection was rapidly progressive and did not respond to administered medical and surgical therapy leading to subsequent phthisis bulbi. Serratia can cause endophthalmitis refractory to antibiotics and despite aggressive and timely treatment can have an unfavorable outcome. This report aims at highlighting the possibility of metastatic infection from an extravasation injury with a potentially fatal outcome.
Keywords
Publication details
- DOI
- 10.4103/0974-620x.159261
- Journal
- Oman Journal of Ophthalmology, 8(2), 114-116
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Sindal, M. D., & Nakhwa, C. P. (2015). Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate. Oman Journal of Ophthalmology, 8(2), 114-116. https://doi.org/10.4103/0974-620x.159261
MLA 9
Sindal, Manavi D, and Chinmay P Nakhwa. "Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate." Oman Journal of Ophthalmology, vol. 8, no. 2, 2015, pp. 114-116. https://doi.org/10.4103/0974-620x.159261.
Chicago (author–date)
Sindal, Manavi D, and Chinmay P Nakhwa. 2015. "Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate." Oman Journal of Ophthalmology 8 (2): 114-116. https://doi.org/10.4103/0974-620x.159261.
Harvard
Sindal, M. D. and Nakhwa, C. P. (2015) 'Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate', Oman Journal of Ophthalmology, 8(2), pp. 114-116. doi:10.4103/0974-620x.159261.
Vancouver
Sindal MD, Nakhwa CP. Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate. Oman Journal of Ophthalmology. 2015;8(2):114-116. doi:10.4103/0974-620x.159261
IEEE
M. D. Sindal, and C. P. Nakhwa, "Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate," Oman Journal of Ophthalmology, vol. 8, no. 2, pp. 114-116, 2015, doi: 10.4103/0974-620x.159261.