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Endogenous Listeria monocytogenes Endophthalmitis Presenting as Keratouveitis.

Heidemann, David G. M.D.; Trese, Michael M.D.; Murphy, Sean F. M.D.; Bradford, David M.D.; Lewis, Michael M.D.; Dunn, Steven P. M.D.

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Abstract

We report a case of Listeria monocytogenes endophthalmitis that presented as a recalcitrant keratouveitis in a nonimmunocompromized patient. L. monocytogenes was recovered from the patient's aqueous, vitreous, and two of three blood cultures. He was treated with topical, sub-conjunctival, and systemic antibiotics, but the visual outcome was poor, possibly because of late diagnosis. A review of previous cases of L. monocytogenes endophthalmitis demonstrates unique features of this infection: (a) presentation as an anterior uveitis or keratouveitis with elevated intraocular pressure, (b) endogenous origin, and (c) frequent occurrence in nonimmunocompromized patients.

(C) Lippincott-Raven Publishers.

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