METASTATIC BACILLUS COLI PANOPHTHALMITIS FROM CALCULUS PYONEPHROSIS

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Abstract
Metastatic panophthalmitis is not uncommon, but Bacillus coli infection in such cases is extremely rare; furthermore, there is no recorded case of proved endophthalmitis from infection of the kidneys. The organisms most commonly isolated have been Staphylococcus, Meningococcus, Streptococcus and Pneumococcus, the etiologic factors in these cases having been meningitis, lobar pneumonia, grip, puerperal sepsis, epidemic parotitis, measles, cholecystitis and tuberculous disease of the joints. In a personal communication, Dr. Goldstein of New York told me of an unreported case of endophthalmitis under his care in which B. coli was isolated from the eye and from the ethmoids, the latter being considered the etiologic focus. Betti1 described two cases of contusion of the globe resulting in B. coli panophthalmitis, but the original focus was not determined. Oreste2 reported a case in which a patient, aged 60, had metastatic choroiditis, but he was not able to

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