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  Hazzard's Geriatric medicine and gerontology. Seventh edition

  editors, Jeffrey B. Halter, Joseph G. Ouslander, Stephanie Studenski, Kevin P. High, Sanjay Asthana, Mark A. Supiano, Christine Ritchie ; editor emeritus and senior advisor, William R. Hazzard ; senior editorial assistant, Nancy F. Woolard.

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• Article

  Endogenous E. coli endophthalmitis.

  Shammas HF.

  Surv Ophthalmol. 1977 Mar-Apr;21(5):429-35.

  A case of Escherichia coli septicemia with associated metastatic en dophthalmitis and endocarditis is presented. The ocular signs and symptoms were the initial manifestations of sepsis. Irreversible damage to the eye occurred in less than 24 hours. The pattern of metastatic bacterial endophthalmitis has changed since the introduction of potent antimicrobial agents, with an increased incidence of Gram-negative bacillemia. E. coli endophthalmitis carries a poor prognosis. Early diagnosis and systemic treatment will prevent the life-threatening complications of sepsis.

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