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Media type:
E-Article
Title:
Congenital endophthalmitis following maternal shellfish ingestion
Contributor:
Marshman, Wendy E.;
Lyons, Christopher J.
imprint:
Wiley, 1998
Published in:Australian and New Zealand Journal of Ophthalmology
Language:
English
DOI:
10.1111/j.1442-9071.1998.tb01534.x
ISSN:
1440-1606;
0814-9763
Origination:
Footnote:
Description:
<jats:title>Abstract</jats:title><jats:p> <jats:bold>Purpose:</jats:bold> To highlight an unusual organism causing a unilateral endophthalmitis by transplacental spread.</jats:p><jats:p> <jats:bold>Method:</jats:bold> We report a case of <jats:italic>Plesiomonas shigelloides</jats:italic> endophthalmitis, presenting in a newborn, with co‐existing septicaemia and meningitis. There was a significant maternal history of diarrhoea associated with the ingestion of oysters 2 weeks prior to delivery.</jats:p><jats:p> <jats:bold>Result:</jats:bold> The endophthalmitis was treated with parenteral antibiotics and topical mydriatics with complete resolution, although subsequent assessment of the affected eye suggests a poor visual outcome.</jats:p><jats:p> <jats:bold>Conclusion:</jats:bold> Endophthalmitis in the newborn is an unusual clinical finding and usually presents with other manifestations of bacteraemia. <jats:italic>Plesiomonas shigelloides</jats:italic> is fortunately an infrequent cause of neonatal infection, but is associated with a high degree of morbidity and mortality. We postulate that this neonate acquired <jats:italic>P. shigelloides</jats:italic> via the transplacental route, and suggest that this organism be included in the list of ‘other’ causes of transplacental infection that has been abbreviated to ‘O’ in the acronym TORCH.</jats:p>