Dr. Suchit Dadia, Dr. Chhaya A Shinde, Dr. Akshay Nair, Dr. Rohit Modi
AIM:To report a case of salmonella typhi induced endogenous endophthalmitis in a 28 year old immunocompetent male
METHODS: Retrospective case review.A 28 year old male presented with a 3 day old history of pain and diminished vison in Left Eye.the right eye was normal.vision in left eye was PL+,PR inaccurate.chemosis,corneal haze and hypopyon were noted and yellowish exudates were seen filling the vitreous cavity.Detailed elicitation of history revealed that pt had been treted for typhoid fever 2 weeks earlier with high widal titres(1:200).Vitreous biopsy revealed gram negative bacilli,which were later identified as S.typhi.Despite intensive intravitreal and systemic antibiotic therapy,a vitrectomy was planned which had to be abandoned and the eye was eviscerated.
CONCLUSION:Endogenous endophthalmitis is a rare but devastating complication of typhoid fever that requires a high degree of suspicion to diagnose.it is usually associated with poor visual outcomes.