[Bilateral 4MRGN Pseudomonas aeruginosa-associated choroidal abscesses in cystic fibrosis : Bilateral enucleation of the eyes as a last resort in a life-threatening situation]

Ophthalmologe. 2019 Jul;116(7):656-660. doi: 10.1007/s00347-018-0780-3.
[Article in German]


We present a case of bilateral choroidal abscesses due to a multidrug-resistant gram negative (4MRGN) Pseudomonas aeruginosa lung colonization in a patient with cystic fibrosis under immunosuppression after lung transplantation. Bilateral choroidal and subretinal abscesses were detected by funduscopy, ultrasound, magnetic resonance imaging (MRI) and phacovitrectomy and were accompanied by bilateral acute vision loss. The diagnosis was confirmed by intraoperative subretinal biopsy. Due to therapy resistance a bilateral enucleation for life-saving purposes was performed.

Keywords: 4MRGN Pseudomonas aeruginosa; Bilateral choroidal abscesses; Bilateral enucleation; Cystic fibrosis; Lung transplantation.

Publication types

  • Case Reports

MeSH terms

  • Abscess
  • Cystic Fibrosis*
  • Humans
  • Lung Transplantation*
  • Pseudomonas Infections*
  • Pseudomonas aeruginosa