Endogenous panophthalmitis is fairly common, but careful search of the literature failed to bring to light a report of a case due to metastasis from the tonsils.
Probably the most common causative factor is puerperal sepsis, but cases have been reported accompanying cholecystitis,1 prostatitis,1 pneumonia,2 measles,3 mumps,4 articular tuberculosis5 and influenza.6 The most recent literature on the subject is by Levine,7 who reported a case due to B. coli from calculus pyonephrosis. Bacteriologically, the most common etiologic factors are the staphylococcus, streptococcus, pneumococcus and meningococcus.
REPORT OF CASE
Agatha O., aged 2, who was seen in consultation, had been suffering from tonsillitis for three days. The day before I saw her she had complained of pain in the right eye. The lids of that eye were edematous and tense; the cornea was hazy; the pupil was contracted, and the conjunctiva was