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Successful non-surgical treatment of pseudomonas choroidal abscess in cystic fibrosis with previous double lung transplantation
  1. Rathin Pujari1,2,
  2. Bhairavi Bhatia1,
  3. Erika Marie Damato1 and
  4. Philip Alexander1
  1. 1Department of Ophthalmology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  2. 2Western Eye Hospital, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Dr Rathin Pujari; rp493{at}cam.ac.uk

Abstract

Pseudomonas aeruginosa choroidal abscess is a rare condition which tends to affect patients with cystic fibrosis (CF) who have undergone double lung transplantation. Various surgical treatment strategies have been described but almost universally have had a dismal prognosis. We present a case of pseudomonas choroidal abscess in a CF patient with previous double lung transplantation who was managed with medical treatment, with intravitreal and systemic antibiotics, without surgical intervention, which led to successful resolution of the choroidal abscess, preservation of the eye and retention of vision.

  • infections
  • ophthalmology
  • retina
  • transplantation

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Footnotes

  • Contributors RP was involved with obtaining the data, analysing the data and writing up the manuscript. BB was involved with obtaining the data and analysing the data. EMD was involved with revising the final drafts of the manuscript and was involved with treatment of the patient. PA was involved with treatment of the patient, writing up the manuscript and revising the final drafts. All authors bear responsibility for the accuracy of the contents of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.