| Presentation preference | Oral presentation |
| Title | Incidence and characteristics of endogenous endophthalmitis and chorioretinitis in patients with hematogenous infection |
| Purpose | To estimate infectious ocular lesions rate and risk factors in patients with bacteremia, funguemia or sepsis admitted to hospitalization. |
| Methods | Retrospective observational cohort, in hospitalized patients with bacteremia, funguemia or sepsis evaluated by fundoscopy. Associated risk factors, presence of extraocular infectious source, and isolated microorganism were assessed. |
| Results | We included 287 patients. The overall incidence of chorioretinitis was 3,5% (n=10). Only one of them (0,35%) reached a state of endogenous endophthalmitis. Ophthalmic lesion rate in patients with bacterial hematogenous infection was 0.0127%, and fungal chorioretinitis appeared in 0,21% of patients with funguemia. Risk factors found in our cases were: hemodialysis (n=4), recent surgery (n=4), diabetes (n=2), hematologic malignancy (n=2), immunosuppressive treatment (n=2), chronic use of corticosteroids (n=2). Blood culture was positive in 6 patients, urine culture in 1, another patient had soft tissue infection and in 2 patients the source of infection could not be identified. Staphylococcus aureus (20%) and Candida Albicans (20%) were the more prevalent microorganisms. Only one patient (10%) reported symptoms. |
| Conclusion | Ocular endogenous infection represents a visual threat in patients with bacteremia and funguemia, this study attempts to identify the frequency and risk factors in our region. |
| Conflict of interest | No |
Authors 1
| Last name | GARCIA |
| Initials of first name(s) | MM |
| Department | Uveitis |
| City | Ciudad Autónoma de Buenos Aires |
| Country | Argentina |
Authors 2
| Last name | WOLFENSON |
| Initials of first name(s) | K |
| Department | Ophthalmology |
| City | Ciudad Autónoma de Buenos Aires |
| Country | Argentina |
Authors 3
| Last name | BOIETTI |
| Initials of first name(s) | B |
| Department | CLINICAL RESEARCH |
| City | Ciudad Autónoma de Buenos Aires |
| Country | Argentina |
Authors 4
| Last name | SEGRETIN |
| Initials of first name(s) | EFE |
| Department | Ocular Infeccious Diseases |
| City | Ciudad Autónoma de Buenos Aires |
| Country | Argentina |
