Universität zu Köln

Wisdorf, Martin, Kowalski, Radoslaw, Kiessling, David, Roessler, Gernot F. and Widder, Randolf A. (2021). A Case of Endocarditis Following Endophthalmitis After XEN45 Gel Stent Implantation. J. Glaucoma, 30 (8). S. E357 - 3. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-481X

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Abstract

Introduction: We report a case of endophthalmitis and endocarditis that developed after stent perforation following a XEN45 Gel Stent implantation 10 months ago. Case Report: A 79-year-old man was referred to our hospital because of endophthalmitis of the right eye. The patient had undergone XEN45 Gel Stent implantation in the same eye 10 months ago. On examination, the conjunctiva was perforated by the stent, and it was no longer covered by the conjunctiva. A 27-G pars plana vitrectomy with intravitreal antibiotic injection was performed. Moreover, the patient received intravenous antibiotic treatment and local anti-inflammatory and anti-infectious therapy. Streptococcus gordonii was identified as a bacterial cause of the endophthalmitis. Therefore, transesophageal echocardiography was performed, which revealed aortic valve endocarditis. Discussion: Although not proven, it is possible that the exposed XEN45 Gel Stent served as an entry point for S. gordonii, which caused the exogenous endophthalmitis and subsequent endocarditis. S. gordonii belongs to the viridans group streptococci, which is the etiological agent for endocarditis which is a severe and potentially life-threatening infection. Ophthalmologists should therefore consider the risk of systemic infections as endocarditis after endophthalmitis, particularly caused by the viridans group streptococci, which are known etiological agents of endocarditis.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wisdorf, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Radoslaw UNSPECIFIED UNSPECIFIED UNSPECIFIED Kiessling, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Roessler, Gernot F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Widder, Randolf A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-578572
DOI:	10.1097/IJG.0000000000001869
Journal or Publication Title:	J. Glaucoma
Volume:	30
Number:	8
Page Range:	S. E357 - 3
Date:	2021
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1536-481X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SURGERY Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57857