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- Title
Panuveitis and palpable purpura in a patient with interstitial Pasteurella multocida pneumonia.
- Authors
Murgia, Carlo; Carbini, Andrea; Satta, Aurora; Dore, Stefano; Pinna, Antonio
- Abstract
Aims/Purpose: We describe a case of panuveitis and palpable purpura in a patient with Pasteurella multocida pneumonia. Methods: A 75‐year‐old pseudophakic woman with type‐2 diabetes and chronic obstructive pulmonary disease complained of lower limb palpable purpura and right vision loss of five‐day duration. On admission, right visual acuity was hand motion. Slit‐lamp examination disclosed severe conjunctival and perikeratic reaction, corneal oedema, 3‐mm hypopyon with heavy fibrin accumulation and blood clots, and synechiae to the IOL. Results: Chest computed tomography revealed interstitial pneumonia. Sputum culture yielded P. multocida. Amoxicillin/clavulanic tablets (1gx3/daily) and topical and systemic steroids were given. Later on, fluorescein angiography showed multiple areas of choroiditis bilaterally. With the above‐mentioned therapy, there was full recovery of the skin, lung, and eye lesions. Conclusions: This report emphasizes that P. multocida infection should be considered in patients with intraocular inflammation, palpable purpura, and interstitial pneumonia. A multidisciplinary approach is necessary for a correct diagnosis and management.
- Subjects
PASTEURELLA multocida; SCHOENLEIN-Henoch purpura; CHRONIC obstructive pulmonary disease; THROMBOSIS; PULMONARY fibrosis; FLUORESCENCE angiography; EYE inflammation
- Publication
Acta Ophthalmologica (1755375X), 2024, Vol 102, pN.PAG
- ISSN
1755-375X
- Publication type
Case Study
- DOI
10.1111/aos.16244