J Korean Soc Magn Reson Med.  2013 Mar;17(1):47-49. 10.13104/jksmrm.2013.17.1.47.

MRI Imaging of Simultaneously Developed Endogenous Endophthalmitis and Brain Abscesses

Affiliations
  • 1Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine, Korea. hyukwonchang@korea.com
  • 2Department of Pathology, Keimyung University Dongsan Hospital, College of Medicine, Korea.
  • 3Department of General Surgery, Keimyung University Dongsan Hospital, College of Medicine, Korea.

Abstract

Endogenous endophthalmitis is rare and refers to an intraocular inflammatory process that may result from exogenous or endogenous causes. Magnetic resonance imaging (MRI) is useful for diagnosing endophthalmitis, and valuable to reach the diagnosis of brain abscess. We report here the MR findings of simultaneously developed endogenous endophthalmitis and brain abscesses.

Keyword

Endophthalmitis; Brain abscess; Magnetic resonance (MR)

MeSH Terms

Brain
Brain Abscess
Endophthalmitis
Magnetic Resonance Imaging

Figure

  • Fig. 1 Endogenous ophthalmitis and brain abscess. a. An axial T2-weighted image shows a subtle heterogenous intensity in the right globe. b. A gadolinum-enhanced T1-weighted image reveals multifocal rim enhancements that suggests brain abscess. c. Axial DWI shows hyperintensity in the right globe (arrows) and multifocal hyperintensities in both the cerebral and cerebellar hemispheres (arrowheads). d. Axial ADC map shows corresponding hypointensities in DWI. e. A FLAIR image shows the suppressed signal of the vitreous humor and hyperintensity in the right globe (arrowheads). f. A T1-weighted image shows subtle heterogeneous signal in the right globe.


Reference

1. Okada AA, Johnson RP, Liles Wc, D'Amico DJ, Baker AS. Endogenous bacterial endophthalmitis: report of a ten-year retrospective study. Ophthalmology. 1994; 101:832–838.
2. Wong JS, Chan TK, Lee HM, Chee SP. Endogenous bacterial endophthalmitis: an east asia experience and a reappraisal of a severe ocular affliction. Ophthalmology. 2000; 107:1483–1491.
3. Greenwald MJ, Wohl LG, Sell CH. Metastatic bacterial endophthalmitis: a contemporary reappraisal. Surv Ophthalmol. 1986; 31:81–101.
4. Seale M, Lee WK, Daffy J, Tan Y, Trost N. Fulminant endogenous Klebsiella pneumoniae endophthalmitis: imaging findings. Emerg Radiol. 2007; 13:209–212.
5. Osborn AG. Diagnostic imaging brain. Amirsys. 2004; I-8:24–27.
6. Rumboldt Z, Moses C, Wieczerzynski U, Saini R. Diffusion-weighted imaging, apparent diffusion coefficients, and fluid-attenuated inversion recovery MR imaging in endophthalmitis. AJNR Am J Neuroradiol. 2005; 26:1869–1872.
7. Matsushita M, Hajiro K, Okazaki K, Takakuwa M, Nishio A. Endophthalmitis with brain, lung, and liver abscesses associated with an occult colon cancer. Am J Gastroenterol. 2000; 95:3664–3665.
8. Yang CS, Tsai HY, Sung CS, Lin KH, Lee FL, Hsu WM. Endogenous Klebsiella endophthalmitis associated with pyogenic liver abscess. Ophthalmology. 2007; 114:876–880.
9. Lee CC, Chen CY, Chen FH, Zimmerman RA, Hsiao HS. Septic metastatic endophthalmitis from Klebsiella pneumoniae liver abscess: CT and MR imaging characteristics-report of three cases. Radiology. 1998; 207:411–416.
Full Text Links
  • JKSMRM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr