Work

From kidney to eye: The devastating consequences of delayed diagnosis

Year: 2026

Type: article

Abstract: Sepsis workup, including urine cultures, should be routine in renal masses when imaging suggests malignancy. This is to avert vision-threatening consequences in older, immunocompromised patients as seen in this rare case where C. koserii renal abscess was misdiagnosed as a renal cell carcinoma and was complicated by endogenous endophthalmitis (EE), confirmed by urine culture and vitreous PCR. Despite intravitreal antibiotics and pars plana vitrectomy, vision loss was permanent. The renal abscess responded to systemic antibiotics eventually. C. koserii EE is rare and carries poor visual prognosis as shown in previous few cases reported.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103370

Authors: Derrick Tsang, Antony Raharja, Antoine Safi, Konstantinos Kapriniotis, Simon Holden, Cordelia McKechnie

Institutions: Barts Health NHS Trust, Whipps Cross University Hospital

Language: English

Topic: Ocular Infections and Treatments

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160