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January 1969

Pneumococcal Septicemia Presenting as a Hypopyon

Author Affiliations

Palo Alto, Calif
From the Division of Ophthalmology, Department of Surgery, Stanford University Medical Center and Palo Alto Veterans Administration Hospital, Palo Alto, Calif.

Arch Ophthalmol. 1969;81(1):144-145. doi:10.1001/archopht.1969.00990010146019

METASTATIC UVEITIS, scleritis, iridocyclitie, conjunctivitie, papillitie, retinal exudates, and hemorrhages have all been reported secondary to septicemia.1-7 Septic emboli usually enter the eye through either the retinal vessels or through the choroidal circulation. Probably the most common cause of metastatic ocular infection is the streptococcus. The second most common cause is the pneumococcus.8,9 The following is a rare case of pneumococcal septicemia in which the first manifestation of the disease was a hypopyon. The patient was treated with massive antibiotics and the eye was saved.

Report of a Case  A 75-year-old white man entered the hospital complaining of pain and decreased vision in his left eye of three days duration. The right eye had been removed 15 years earlier for severe acid burns. Four months prior to admission the patient had undergone a prostatectomy after which he had developed a Proteus infection of the urinary tract which was