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Article
November 1993

Endogenous Endophthalmitis Caused by Propionibacterium acnes

Author Affiliations

Vigo, Spain

Arch Ophthalmol. 1993;111(11):1468. doi:10.1001/archopht.1993.01090110026012
Abstract

Endophthalmitis is a serious complication of parenteral drug abuse. In our country, Candida albicans and Staphylococcus aureus are the two most common microorganisms implicated in its origin.1 We report a case of endogenous endophthalmitis caused by Propionibacterium acnes in an intravenous drug abuser infected with human immunodeficiency virus.

Report of a Case.  A 23-year-old woman, an intravenous cocaine and heroin user, presented with a decrease in vision in her right eye. She tested positive for human immunodeficiency virus 4 months earlier. The decrease of visual acuity started gradually 3 weeks before presentation. She had noted small defects in her right visual field for 7 days before admission. There was no ocular pain or fever. She denied any history of cutaneous infections or of ocular trauma.Physical examination revealed a blood pressure of 120/70 mm Hg, a pulse rate of 75 beats per minute, and a temperature of 36.8°C Physical

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