PT  - JOURNAL ARTICLE
AU  - Conlon, Peter
AU  - Creedon, Margaret
AU  - Houlihan, Elaine
AU  - O'Rourke, Sadhbh
TI  - Complexities in diagnosing and treating endophthalmitis in the post stem cell transplant setting
AID  - 10.1136/bcr-2022-250552
DP  - 2022 Jun 01
TA  - BMJ Case Reports
PG  - e250552
VI  - 15
IP  - 6
4099  - http://casereports.bmj.com/content/15/6/e250552.short
4100  - http://casereports.bmj.com/content/15/6/e250552.full
SO  - BMJ Case Reports2022 Jun 01; 15
AB  - Endophthalmitis is a rare but sight-threatening manifestation of systemic infection. Immunosuppression is a well-recognised risk factor for development of endophthalmitis. Determining the aetiology can be complex, particularly in the context of immunosuppression, we present the diagnostic and treatment dilemmas associated with a patient who complains of blurred vision 2 weeks following an allogeneic stem cell transplant for refractory Hodgkin’s disease. We demonstrate that in the context of immunosuppression post stem cell transplantation, a broad differential should be maintained until a microbiological diagnosis can be confirmed. In particular, we evaluate how clinical suspicion can diverge from typical fundoscopic findings in the diagnosis of endophthalmitis.