Endogenous Endophthalmitis Caused by Propionibacterium acnes

Endophthalmitis is a serious complication of parenteral drug abuse. In our country,Candida albicansandStaphylococcus aureusare the two most common microorganisms implicated in its origin.1We report a case of endogenous endophthalmitis caused byPropionibacterium acnesin an intravenous drug abuser infected with human immunodeficiency virus. Report of a Case. A 23-year-old woman, an intravenous cocaine and heroin user, presented with a decrease in vision in her right eye. She tested positive for human immunodeficiency virus 4 months earlier. The decrease of visual acuity started gradually 3 weeks before presentation. She had noted small defects in her right visual field for 7 days before admission. There was no ocular pain or fever. She denied any history of cutaneous infections or of ocular trauma. Physical examination revealed a blood pressure of 120/70 mm Hg, a pulse rate of 75 beats per minute, and a temperature of 36.8°C Physical