Bilateral Blindness From Orbital Cellulitis Caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus - 18/08/11
Inquiries to Jonathan C. Horton, MD, PhD, Beckman Vision Center, University of California San Francisco, 10 Koret Way, K-301, San Francisco, CA 94143-0730; fax: (415) 476-8309Résumé |
Purpose |
To describe bilateral blindness resulting from infection with community-acquired methicillin-resistant Staphylococcus aureus (MRSA).
Design |
Observational case report.
Methods |
A 44-year-old man developed proptosis, ptosis, ophthalmoplegia, and no light perception vision after attempting to lance a nasal pustule. A nasal culture grew MRSA. Imaging showed bilateral orbital cellulitis, pansinusitis, and cavernous sinus thrombosis. The right fundus showed severe ischemia, but the left fundus was essentially normal.
Results |
Despite initiation of appropriate antibiotics early in the course of infection, the patient lost sight in both eyes. Surgical drainage of the paranasal sinuses and use of intravenous corticosteroids and heparin led to the resolution of orbital cellulitis.
Conclusions |
MRSA orbital cellulitis can progress to irreversible blindness despite antibiotic treatment. A new, community-acquired clone of this organism has exhibited increased potential for tissue invasion.
Le texte complet de cet article est disponible en PDF.| This research was supported by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York. |
Vol 140 - N° 4
P. 740-742 - octobre 2005 Retour au numéro
Article précédent
- Inflow of Ocular Surface Fluid Into the Anterior Chamber After Phacoemulsification Through Sutureless Corneal Cataract Wounds
- Samantha Herretes, Walter J. Stark, Ashkan Pirouzmanesh, Johann M.G. Reyes, Peter J. McDonnell, Ashley Behrens
- Penetration of Topically Applied Fluorescein Into Eyes With Avascular Filtering Bleb After Trabeculectomy
- Hiroshi Matsuo, Atsuo Tomidokoro, Makoto Araie
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?