TY - JOUR T1 - Permanent visual loss in a child with a rash JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 515 LP - 515 DO - 10.1136/bjo.87.4.515 VL - 87 IS - 4 AU - P A Berry AU - J K Dart AU - E Graham AU - M Matheson AU - E M E MacMahon Y1 - 2003/04/01 UR - http://bjo.bmj.com/content/87/4/515.1.abstract N2 - Endophthalmitis is an unusual but well described complication of bacteraemia. Here we report endophthalmitis arising in the course of a mild illness resembling chickenpox. A previously healthy 6 year old white girl awoke in the early hours feeling hot and complaining of headache. She was given ibuprofen and she went back to sleep. Spots appeared on her limbs later the same day but they blanched beneath a glass bottle and several developed into small blisters. A classmate was known to have chickenpox. Next day some new spots appeared on her buttocks, and some of the older lesions appeared to be crusting over. She was noticed rubbing her right eye and later said she felt warm, and vomited. Next morning she complained of pain in the right eye and could not open it. Following assessment by her general practitioner she was referred urgently to an eye unit. On examination she appeared well and was afebrile. The right eye was chemotic, with an absent red reflex and a large hypopyon (Fig 1). Erythematous … ER -