A devastating infection

First described in 1881 by Litten 1 and attributed to Albert Terson, a French ophthalmologist who later described it in 1900, 2 Terson's syndrome is a condition defined as vitreous haemorrhage occurring in association with a subdural or subarachnoid haemorrhage (SAH). Here, Bastawrous and his team of colleagues describe a patient with Terson's syndrome and subsequent Candida endophthalmitis.

The case

A 45 year-old lady was found collapsed at home having suffered a respiratory arrest. She was intubated and ventilated, and a CT brain scan revealed a grade III subarachnoid haemorrhage. She was later extubated and transferred to the Neurosurgical High Dependency Unit (HDU), Leeds General Infirmary, UK.

How did we treat it?

Valuable lessons learned