Fulminant endogenous panophthalmitis caused by Clostridium septicum infection

Detalhes bibliográficos
Autor(a) principal: Díaz,Alicia Berlanga
Data de Publicação: 2023
Outros Autores: González-Oliva,Martim Azevedo, Hervás,Rafael, Gili,Pablo
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492023000100071
Resumo: ABSTRACT We report an unusual case of fulminant endogenous Clostridium septicum panophthalmitis. A 74-year-old male patient presented with sudden amaurosis in the right eye, which in a few hours, evolved into an orbital cellulitis, endophthalmitis, anterior segment ischemia, and secondary perforation of the eye. A complete diagnostic study, which included cranial and orbital contrast-enhanced computed tomography scan, contrast-enhanced magnetic resonance imaging, blood cultures, and complete blood work, were performed. No causal agent was identified. Clostridium septicum infection caused fulminant gaseous panophthalmitis. Despite broad-spectrum antibiotic treatment, evisceration of the eyeball was necessary. The extension study showed a colon adenocarcinoma as the origin of the infection. Clostridium septicum panophthalmitis is a rare but aggressive orbital infection. This infection warrants the identification of a neoplastic process in the gastrointestinal tract in many cases not previously described.
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spelling Fulminant endogenous panophthalmitis caused by Clostridium septicum infectionPanophthalmitisAdenocarcinomaColonic neoplasmsClostridium septicumABSTRACT We report an unusual case of fulminant endogenous Clostridium septicum panophthalmitis. A 74-year-old male patient presented with sudden amaurosis in the right eye, which in a few hours, evolved into an orbital cellulitis, endophthalmitis, anterior segment ischemia, and secondary perforation of the eye. A complete diagnostic study, which included cranial and orbital contrast-enhanced computed tomography scan, contrast-enhanced magnetic resonance imaging, blood cultures, and complete blood work, were performed. No causal agent was identified. Clostridium septicum infection caused fulminant gaseous panophthalmitis. Despite broad-spectrum antibiotic treatment, evisceration of the eyeball was necessary. The extension study showed a colon adenocarcinoma as the origin of the infection. Clostridium septicum panophthalmitis is a rare but aggressive orbital infection. This infection warrants the identification of a neoplastic process in the gastrointestinal tract in many cases not previously described.Conselho Brasileiro de Oftalmologia2023-02-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492023000100071Arquivos Brasileiros de Oftalmologia v.86 n.1 2023reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20220076info:eu-repo/semantics/openAccessDíaz,Alicia BerlangaGonzález-Oliva,Martim AzevedoHervás,RafaelGili,Pabloeng2022-11-29T00:00:00Zoai:scielo:S0004-27492023000100071Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2022-11-29T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
title Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
spellingShingle Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
Díaz,Alicia Berlanga
Panophthalmitis
Adenocarcinoma
Colonic neoplasms
Clostridium septicum
title_short Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
title_full Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
title_fullStr Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
title_full_unstemmed Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
title_sort Fulminant endogenous panophthalmitis caused by Clostridium septicum infection
author Díaz,Alicia Berlanga
author_facet Díaz,Alicia Berlanga
González-Oliva,Martim Azevedo
Hervás,Rafael
Gili,Pablo
author_role author
author2 González-Oliva,Martim Azevedo
Hervás,Rafael
Gili,Pablo
author2_role author
author
author
dc.contributor.author.fl_str_mv Díaz,Alicia Berlanga
González-Oliva,Martim Azevedo
Hervás,Rafael
Gili,Pablo
dc.subject.por.fl_str_mv Panophthalmitis
Adenocarcinoma
Colonic neoplasms
Clostridium septicum
topic Panophthalmitis
Adenocarcinoma
Colonic neoplasms
Clostridium septicum
description ABSTRACT We report an unusual case of fulminant endogenous Clostridium septicum panophthalmitis. A 74-year-old male patient presented with sudden amaurosis in the right eye, which in a few hours, evolved into an orbital cellulitis, endophthalmitis, anterior segment ischemia, and secondary perforation of the eye. A complete diagnostic study, which included cranial and orbital contrast-enhanced computed tomography scan, contrast-enhanced magnetic resonance imaging, blood cultures, and complete blood work, were performed. No causal agent was identified. Clostridium septicum infection caused fulminant gaseous panophthalmitis. Despite broad-spectrum antibiotic treatment, evisceration of the eyeball was necessary. The extension study showed a colon adenocarcinoma as the origin of the infection. Clostridium septicum panophthalmitis is a rare but aggressive orbital infection. This infection warrants the identification of a neoplastic process in the gastrointestinal tract in many cases not previously described.
publishDate 2023
dc.date.none.fl_str_mv 2023-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492023000100071
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492023000100071
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/0004-2749.20220076
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.86 n.1 2023
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
instacron_str CBO
institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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