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  • Title: [Listeria monocytogenes-induced endogenous endophthalmitis in an otherwise healthy patient: PCR-assisted rapid diagnosis as the basis for successful therapy].
    Author: Lohmann CP, Heep M, Linde HJ, Reischl U.
    Journal: Klin Monbl Augenheilkd; 1998 Jan; 212(1):55-8. PubMed ID: 9541896.
    Abstract:
    BACKGROUND: Listeria monocytogenes is a rare cause of endogenous endophthalmitis. Only 14 cases are published in the literature so far. All eyes showed similar clinical features and profound visual loss. PATIENTS AND METHODS: We report on a case of an otherwise healthy 73-year-old male. He was referred to our hospital because of acute hypopyoniritis with secondary glaucoma. Within a few hours the severity of the intraocular infection increased dramatically resulting in the clinical picture of an acute endophthalmitis. RESULTS AND CONCLUSION: Early identification of the causative pathogen in the aqueous humor after anterior chamber paracenthesis using polymerase chain reaction (PCR) and the initiation of a specific, systemic antibiotic medication resulted in a complete recovery of visual acuity.
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