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A Case of Fulminant Endophthalmitis.

Diagnosis: Clostridium septicum endophthalmitis associated with underlying colon cancer. The gram stain shows pleomorphic gram-positive bacilli and growth on the egg yolk media demonstrates the characteristic spreading morphology of Clostridium septicum. Our patient developed a case of fulminant endogenous endophthalmitis due to Clostridium septicum. Although most cases of endogenous endophthalimitis occur in the setting of a systemic infection and/or positive blood cultures, up to 18% can develop in the absence of constitutional symptoms [1]. Once the microbiologic diagnosis was made, the patient was referred for colonoscopy. This was performed 6 weeks after evisceration and revealed a mass in the right colon with biopsy showing adenocarcinoma. One month later, he successfully underwent a right hemicolectomy with margins free of tumor cells.