Ocular infection from Staphylococcus aureus bacteraemia in a sero-positive HIV patient from Queen Elizabeth Central Hospital, Blantyre, Malawi

Thokozani Zungu; Shaffi Mdala; Chatonda Manda; Petros Kayange

doi:10.4314/mmj.v32i4.10

Ocular infection from Staphylococcus aureus bacteraemia in a sero-positive HIV patient from Queen Elizabeth Central Hospital, Blantyre, Malawi

Malawi Med J. 2020 Dec;32(4):232-234. doi: 10.4314/mmj.v32i4.10.

Authors

Thokozani Zungu^{1

2}, Shaffi Mdala^{1

2}, Chatonda Manda^{1

2}, Petros Kayange^{1

2}

Affiliations

¹ Department of Ophthalmology, University of Malawi, College of Medicine, Blantyre, Malawi.
² Lions Sight First Eye Unit, Queen Elizabeth Central Hospital, Blantyre, Malawi.

Abstract

Ocular involvement in Staphylococcus aureus bacteraemia occurs with metastatic infection and has been identified as an independent risk factor for mortality. It manifests as either endophthalmitis or chorioretinitis and often leads to visual loss, particularly with delayed diagnosis. We present a case report of endogenous endophthalmitis and chorioretinitis in the background of methicillin-sensitive Staphylococcus aureus (MSSA) bacteraemia in a 23-year-old HIV-positive woman.

Keywords: HIV; Staphylococcus aureus; bacteraemia; chorioretinitis; endophthalmitis; vitritis.

Publication types

Case Reports

MeSH terms

Administration, Oral
Adult
Anti-Bacterial Agents / therapeutic use*
Ceftriaxone / administration & dosage
Ceftriaxone / therapeutic use*
Chorioretinitis / drug therapy
Doxycycline / administration & dosage
Doxycycline / therapeutic use*
Endophthalmitis / drug therapy
Eye Infections / drug therapy*
Eye Infections / microbiology
Female
HIV Infections / complications*
HIV Infections / drug therapy
Humans
Injections, Intravenous
Staphylococcal Infections / drug therapy*
Staphylococcus aureus / isolation & purification
Treatment Outcome

Substances

Anti-Bacterial Agents
Ceftriaxone
Doxycycline