[Skip to Navigation]
Article
May 1939

BILATERAL ENDOPHTHALMITIS COMPLICATING PNEUMOCOCCIC SEPTICEMIA: REPORT OF A CASE

Author Affiliations

PHILADELPHIA
From the Department of Ophthalmology, University of Pennsylvania Hospital.

Arch Ophthalmol. 1939;21(5):731-734. doi:10.1001/archopht.1939.00860050015001
Abstract

We are presenting this case of bilateral endophthalmitis because it is an instance of an ocular lesion occurring as the first manifestation of a generalized septicemia. It also affords a basis for discussion of metastatic ocular infections.

REPORT OF CASE  E. P., a 48 year old man, an upholsterer, had been in good health until Dec. 1, 1937, when he stepped on a tack while at work. This was followed by a local infection and lymphangitis of the left foot and lower part of the leg, for which he was treated by his family physician. A roentgenogram taken at the time showed no involvement of bone.The patient appeared to be making a satisfactory recovery, all local signs and symptoms having disappeared, when, on December 15, he experienced severe frontal headache and became aware of a dimness of vision in each eye. The next day the periorbital tissues became swollen,

×