Bee sting presumed endophthalmitis: a devastating ocular outcome

Bee sting presumed endophthalmitis: a devastating ocular outcome

Background To report a rare case of bee sting presumed endophthalmitis that resulted in a devastating ocular outcome. Case presentation A 43-year-old patient presented 24 h after bee sting ocular injury in his left eye. He had a mild inflammatory sign at presentation, and he underwent surgical explo...

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Bibliographic Details
Published in:International journal of retina and vitreous Vol. 7; no. 1; pp. 1 - 52
Main Authors: Al Amry, Mohammed, Al Ghadeer, Huda, Al Gethami, Ahmed R.
Format: Journal Article
Language:English
Published: London BioMed Central 06-09-2021
BMC
Subjects:
Antibiotics
Bee
Bees
Case Report
Cataracts
Cornea
Edema
Endophthalmitis
Hemorrhage
Infections
Inflammation
Injuries
Injury
Insect bites
Ocular
Pathogens
Retina
Retinal detachment
Steroids
Trauma
Ultrasonic imaging
Venom
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Summary:Background To report a rare case of bee sting presumed endophthalmitis that resulted in a devastating ocular outcome. Case presentation A 43-year-old patient presented 24 h after bee sting ocular injury in his left eye. He had a mild inflammatory sign at presentation, and he underwent surgical exploration to rule out a scleral defect, which revealed a sealed defect. During his hospital course, he developed signs of endophthalmitis 48 h following trauma for which he received vitreous tap and intravitreal antibiotic. Microbial culture revealed gram-negative rods, Pseudomonas aeruginosa, and Aeromonas veronii. Condition escalated to reach the panophthalmitis stage and cellulitis like picture with visual acuity of no light perception. Visual evoked response (VER) demonstrated a flat response. Infection was controlled by evisceration of the globe at the end as salvage therapy against the spreading of infection Conclusions Bee sting ocular injury is an exceedingly rare type of ocular trauma. Concomitant infection can happen, and severity depends on the pathogen involved. It is crucial to have insight and start appropriate treatment based on to the patient presentation.
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ISSN:2056-9920
2056-9920
DOI:10.1186/s40942-021-00320-w