gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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ORSA-endopththalmitis and nasopharyngeal tumor: a case report

Meeting Abstract

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  • corresponding author T. Krüger - Klinik für Augenheilkunde, Marienhospital Osnabrück, Osnabrück
  • J.-E. Frenkler - Klinik für Hals-Nasen-Ohrenheilkunde, Marienhospital Osnabrück, Osnabrück
  • V. Seiberth - Klinik für Augenheilkunde, Marienhospital Osnabrück, Osnabrück

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 208

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog699.shtml

Published: September 22, 2004

© 2004 Krüger et al.
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Outline

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Objective

Endogenuous endophthalmitis is a rare and severe condition. Its etiology is variable. We present a patient with an unusual differential diagnosis.

Case report

A 79-year-old female patient presented with loss of vision, redness and pain in her left eye. Clinical examination showed severe panuveitis with exophthalmus in the amaurotic eye. Suffering from an insulin-dependent diabetes this patient had a diabetic foot syndrome. Computed tomography revealed a large nasopharyngeal tumor. We suspected a relationship between this finding and the endophthalmitis. However, endoscopical investigation of this tumor confirmed the diagnosis of a meningoencephalcele. It showed typical pulse-synchronic pulsation. Microbiological examination of the vitreous sample obtained during vitrectomy showed the identical ORSA germ (oxacilline-resistant staphylococcus aureus) that had caused the abscess of the foot.

Conclusions

Endogenuous endophthalmitis requires thorough investigation. Its etiology can be unusual. In this case an abscess of the foot was the source of the infection. The nasopharyngeal tumor revealed to be a meningoencephalocele and therefore a coincidental finding.