November 1979

Meningococcal Sepsis With Endophthalmitis

Author Affiliations

From the Department of Pediatrics, University of Southern California School of Medicine (Dr Igdaloff) and the Divisions of Ophthalmology (Dr Friedman) and Infectious Diseases and Virology (Drs Mason and Wright), Childrens Hospital of Los Angeles.

Am J Dis Child. 1979;133(11):1151-1152. doi:10.1001/archpedi.1979.02130110059010

• Endophthalmitis is a rare complication of meningococcemia. A child had endophthalmitis as the initially occurring complaint. Although both eyes appeared inflamed, the pupil in the right eye was fixed and dilated, the fundus could not be seen, and a hypopyon was seen in the right anterior chamber. There was gradual improvement when the child received antibiotic therapy. Since the introduction of antimicrobial drugs, endophthalmitis has rarely been observed as a complication of meningococcal disease. However, this report is evidence that meningococcemia may occur with unusual sites of local infection.

(Am J Dis Child 133:1151-1152, 1979)