Monocular loss of vision following an open tibial fracture: a case of Enterococcus casseliflavus endogenous endophthalmitis

2021 ◽  
Vol 14 (4) ◽  
pp. e241292
Author(s):  
Alastair Stephens ◽  
Chrishnepriya Sivapathasuntharam ◽  
Hannah K James
Keyword(s):  
Tibial Fracture ◽  
Immunocompetent Patient ◽  
Endogenous Endophthalmitis ◽  
Open Tibial Fracture ◽  
Loss Of Vision ◽  
Enterococcus Casseliflavus ◽  
Haematogenous Spread

Rare intraocular complication in a healthy immunocompetent patient with an atypical organism following presumed haematogenous spread after a highly contaminated open tibial fracture.

scholarly journals Fungal Endogenous Endophthalmitis Secondary to Magnusiomyces capitatus

2019 ◽  
Vol 10 (2) ◽  
pp. 292-298
Author(s):  
Nestore Rota ◽  
Carla Danese ◽  
Francesca Menchini ◽  
Silvia Pignatto ◽  
Maddalena Peghin ◽  
...  
Keyword(s):  
Single Case ◽  
Immunocompetent Patient ◽  
Ascending Aorta ◽  
Endogenous Endophthalmitis ◽  
Coronary Angiogram ◽  
Literature Research ◽  
Normal Human

We report the case of a 68-year-old immunocompetent patient with a dilatation of the ascending aorta, intraluminal vegetations, and pseudoaneurysmatic bulging who presented with unilateral fungal endogenous endophthalmitis 8 days after coronary angiogram. The isolated pathogen resulted to be Magnusiomyces capitatus, a filamentous, yeast-like fungus that can be commonly found in normal human microflora, with an immunosuppression-related pathogenicity. A literature research revealed a single case of ophthalmic infection – a keratitis – caused by this pathogen. Furthermore, we add a review of mycotic endophthalmitis related to aortic infection.

scholarly journals Aspergillus aortitis in an immunocompetent patient presenting with acute endophthalmitis

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Joseph M. Rocco ◽  
Maggie K. Benson
Keyword(s):  
Cardiac Surgery ◽  
Early Recognition ◽  
Disease Process ◽  
Infectious Agent ◽  
Immunocompetent Patient ◽  
Endogenous Endophthalmitis ◽  
Laboratory Studies ◽  
Aortic Pseudoaneurysm ◽  
First Case ◽  
Ascending Aortic Pseudoaneurysm

Aspergillus is a common environmental mold most often recognized as an infectious agent in patients with severe immune compromise. We present a case of an immunocompetent patient presenting with endogenous endophthalmitis in the absence of other infectious symptoms. The search for a systemic source revealed an ascending aortic pseudoaneurysm. Surgical resection and pathology revealed angioinvasive aspergillus aortitis. Recent cardiac surgery has been noted to be a risk factor for angioinvasive aspergillosis. Diagnosis is difficult as symptoms are mild and laboratory studies are often normal. To our knowledge this is the first case of aspergillus aortitis presenting as endogenous endophthalmitis without systemic signs of inflammation. These patients have a high mortality rate therefore early recognition is essential. It is important to consider angioinvasive aspergillus infections in patients with prior cardiac surgery presenting with occult embolic phenomena. Only with early diagnosis and prompt treatment can we improve outcomes of this disease process.

A qualitative approach to recovery after open tibial fracture: The road to a novel, patient-derived recovery scale

Injury ◽  
2012 ◽  
Vol 43 (7) ◽  
pp. 1071-1078 ◽  
Author(s):  
R.W. Trickett ◽  
Elizabeth Mudge ◽  
Patricia Price ◽  
Ian Pallister
Keyword(s):  
Tibial Fracture ◽  
Qualitative Approach ◽  
Open Tibial Fracture ◽  
The Road

Salvage of a Below-the-Knee Amputation Level Following a Type-IIIB Open Tibial Fracture

2007 ◽  
Vol 89 (12) ◽  
pp. 2769-2778 ◽  
Author(s):  
Steven J Morgan ◽  
Justin Newman ◽  
Kagan Ozer ◽  
Wade Smith ◽  
Raffi Gurunluoglu
Keyword(s):  
Tibial Fracture ◽  
Open Tibial Fracture ◽  
Amputation Level ◽  
Knee Amputation ◽  
Below The Knee ◽  
Type Iiib

Three-vessel view debridement of the open tibial fracture: a surgical technique

2021 ◽  
Author(s):  
K. Al-Hourani ◽  
O. Pearce ◽  
A. Bott ◽  
A. Riddick ◽  
A. Trompeter ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Tibial Fracture ◽  
Open Tibial Fracture
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