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A Pseudoepidemic of Postoperative Scleritis Due to Misdiagnosis

Published online by Cambridge University Press:  02 January 2015

Dale R. Burwen
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, Georgia
Curtis E. Margo*
Affiliation:
Watson Clinic, Lakeland, Florida
Michael M. McNeil
Affiliation:
Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, Georgia
June M. Brown
Affiliation:
Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, Georgia
Gerda Tapelband
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, Georgia
Robert B. Jenkins
Affiliation:
Florida, and the North Florida/South Georgia Veterans Health System, Gainesville, Florida
William R. Jarvis
Affiliation:
Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, Atlanta, Georgia
*
Watson Clinic, 1600 Lakeland Hills Blvd, Lakeland, FL 33805

Abstract

Objective:

To describe a pseudoepidemic of infectious scleritis following eye surgery.

Methods:

Retrospective cohort study with selected procedural and laboratory investigations.

Results:

Twenty-one patients with postoperative scleritis were identified during a 2-month outbreak. Neither an infectious etiology nor a causative pre-, intra-, or postoperative exposure was found. The clinical findings, when carefully reviewed, were consistent with poor surgical-wound closure.

Conclusions:

The art of clinical diagnosis involves the subjective interpretation of clinical history, physical findings, and laboratory results. A repeated error in the interpretation of clinical findings can simulate an outbreak of disease. Clinicians may be reluctant to concede misdiagnosis

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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