TY  - JOUR
T1  - ENdophthalmitis after staphylococcal sepsis
AU  - Joseph W
Y1  - 1979/08/01
N1  - 10.1001/archinte.1979.03630450084029
JO  - Archives of Internal Medicine
SP  - 942
EP  - 943
VL  - 139
IS  - 8
N2  - To the Editor.— 
    Dr Bloomfield and his coauthors are to be complimented for their recent publication in the Archives (138:706-708, 1978) describing two patients with chronic renal failure receiving maintenance hemodialysis in whom endophthalmitis developed several months after proven staphylococcal sepsis. However, one must be somewhat skeptical about their presumptive causative diagnosis of "metastatic staphylococcal" endophthalmitis that was based on (1) a history of positive blood cultures for Staphylococcus aureus three months previously, (2) the lack of definite evidence for another causative organism, and (3) the patients' response to antibacterial and steroid therapy. After reading the published data, it is difficult to fully agree with their conclusions, and several aspects of the report are worthy of further comment.First, only one of these two patients underwent a diagnostic anterior chamber paracentesis, and although the authors are correct in stating that the negative culture of this aspirate does not rule out
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1979.03630450084029
UR  - http://dx.doi.org/10.1001/archinte.1979.03630450084029
ER  -