• Eur J Ophthalmol · Mar 2006

    Case Reports

    Hyperacute unilateral gonococcal endophthalmitis in an HIV-infected man without genital infection.

    • F Faggian, A Azzini, M Lanzafame, A Bonora, A Zorzi, E Concia, and S Vento.
    • Infectious Diseases Unit, Ospedale Civile Maggiore, Verona, Italy. ffaggian@hotmail.com
    • Eur J Ophthalmol. 2006 Mar 1;16(2):346-8.

    PurposeTo demonstrate the necessity of obtaining an accurate history from patients presenting abnormal evolution of ophthalmologic diseases.MethodsA 42-year-old patient, denying any previous ocular or systemic morbidity, presented with an unusual severe and hyperacute gonococcal endophthalmitis with corneal abscess but no concurrent genitourinary infection. Only after a further interview did the patient reveal his human immunodeficiency virus status and a previous diagnosis of acquired immunodeficiency syndrome.ResultsAdequate topical and intravenous antibiotic treatment and surgery led to salvage of the eye.ConclusionsAn accurate history should be obtained by patients with an abnormal course of an ophthalmologic disease, focusing on immunologic deficiencies that can cause extremely serious ophthalmologic complications with ensuing risk of visual impairment or ocular loss (bulbar enucleation).

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