Indiana University Infectious Diseases Fellowship
19 Mar,
6 tweets, 3 min read
#idboardreview 40 M injected heroin boiled with tap water, previously used needle: next day developed periorbital swelling, eyelid erythema, pain and blurred vision of one eye. Dx? #medEd #idmedEd #IDtwitter 
endophthalmitis by GPR #Bacillus cereus Gp (non-anthracis) after injection drug use. +spore-forming rod produces toxins, including multiple enzymes, associated w/ GI illness & asymptomatic fecal carriage. Case reports of endogenous endophthalmitis after IDU reported but rare
>90% of infect endophthalmitis: exogenous exposure to organisms:penetrating trauma, surgery, injection of meds into vitreous, or from direct extension from corneal source. CoNS strep cutibacterium post surgery/vitreal injections. Bacillus cereus: >70% post penetrating trauma
Endogenous endophthalmitis may occur with bacteremia associated w/ endocarditis (often Staph aureus or strep), IDU: serratia, liver abscess (Asia, caused by GNR including Klebsiella), in immunocompromised and/or hospitalized pt w/ indwelling catheters: candida
• • •
Missing some Tweet in this thread? You can try to
force a refresh
