Author/Authors :
Parvaresh, Mohammad Mehdi Eye Research Center -Rassoul Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Mehrpouya, Amir Abbas Eye Research Center -Rassoul Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Ganji Anari, Rahimeh Eye Research Center -Rassoul Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Aghamirsalim, Mohammadreza Eye Research Center -Rassoul Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Abri Aghdam, Kaveh Eye Research Center -Rassoul Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Ghasemi Falavarjani, Khalil Eye Research Center -Rassoul Akram Hospital - Iran University of Medical Sciences, Tehran, Iran
Abstract :
Purpose: We describe a patient with endogenous endophthalmitis caused by Acinetobacter spp. as the first clinical presentation of diabetes
mellitus.
Method: A 48-year-old otherwise healthy woman was referred with signs and symptoms of acute endophthalmitis in the left eye. Systemic workup,
vitreous tap, and intravitreal antibiotic injection were performed followed by pars plana vitrectomy.
Results: The laboratory tests confirmed the diagnosis of diabetes mellitus. Vitreous culture was positive for Acinetobacter spp., and the organism
was sensitive to colistin. One month after surgery, vision was no light perception, and the eye was phthisical.
Conclusion: Diagnostic work-up should be performed even in otherwise healthy patients with endogenous endophthalmitis.