Pigmented hypopyon in association with Listeria monocytogenes endopthalmitis: An interesting case report following refractive surgery procedure with literature review

Hind M. Alkatan, Hassan A. Al-Dhibi, Deepak P. Edward, Ali A. Al-Rajhi

Research output: Contribution to journalArticle

Abstract

Purpose: Listeria monocytogenes is an aerobic, motile, gram positive bacillus recognized as an intercellular pathogen in human where it most frequently affects neonates, pregnant women, elderly patients, and immunosuppressed individuals as well as healthy persons. Ocular listeriosis is rare, most frequently in the form of conjunctivitis, but has been also shown to cause rarely endophthalmitis with pigmented hypopyon and elevated intraocular pressure such as in our case. Materials and Methods: We are reporting one immunocompetent patient presenting with dark hypopyon following laser refractive procedure. His clinical findings, investigations, and further management are all described with relevant literature review of similar cases. Results: Diagnosis of ocular listeriosis was confirmed by positive culture of anterior chamber (AC) aspirate with identification of the above organism. His visual outcome was satisfactory with good preserved vision. Conclusion: We believe that his ocular infection was exogenous and that ophthalmologists should be aware of the causative organisms of colored hypopyon to avoid delayed diagnosis.

Original languageEnglish (US)
Pages (from-to)40-43
Number of pages4
JournalMiddle East African Journal of Ophthalmology
Volume21
Issue number1
DOIs
StatePublished - 2014
Externally publishedYes

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Refractive Surgical Procedures
Listeriosis
Listeria monocytogenes
Eye Infections
Endophthalmitis
Conjunctivitis
Delayed Diagnosis
Anterior Chamber
Intraocular Pressure
Bacillus
Pregnant Women
Lasers
Newborn Infant
Ophthalmologists

Keywords

  • Endophthalmitis
  • Laser-assisted in situ Keratomileusis
  • Listeria
  • Pigmented Hypopyon

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Pigmented hypopyon in association with Listeria monocytogenes endopthalmitis : An interesting case report following refractive surgery procedure with literature review. / Alkatan, Hind M.; Al-Dhibi, Hassan A.; Edward, Deepak P.; Al-Rajhi, Ali A.

In: Middle East African Journal of Ophthalmology, Vol. 21, No. 1, 2014, p. 40-43.

Research output: Contribution to journalArticle

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AU - Edward, Deepak P.

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AB - Purpose: Listeria monocytogenes is an aerobic, motile, gram positive bacillus recognized as an intercellular pathogen in human where it most frequently affects neonates, pregnant women, elderly patients, and immunosuppressed individuals as well as healthy persons. Ocular listeriosis is rare, most frequently in the form of conjunctivitis, but has been also shown to cause rarely endophthalmitis with pigmented hypopyon and elevated intraocular pressure such as in our case. Materials and Methods: We are reporting one immunocompetent patient presenting with dark hypopyon following laser refractive procedure. His clinical findings, investigations, and further management are all described with relevant literature review of similar cases. Results: Diagnosis of ocular listeriosis was confirmed by positive culture of anterior chamber (AC) aspirate with identification of the above organism. His visual outcome was satisfactory with good preserved vision. Conclusion: We believe that his ocular infection was exogenous and that ophthalmologists should be aware of the causative organisms of colored hypopyon to avoid delayed diagnosis.

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