Multi-resistant Enterobacter cloacae dacryocystitis and preseptal cellulitis: case and review of literature.

Autor: Kvopka M; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Kingston E; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Nguyen DDH; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Tong JY; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Kirk HL; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Whyte CM; Department of Medicine, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Dalgliesh JD; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia., Danks JJ; Department of Ophthalmology, Sydney Hospital and Sydney Eye Hospital, Sydney, Australia.
Jazyk: angličtina
Zdroj: Orbit (Amsterdam, Netherlands) [Orbit] 2023 Aug; Vol. 42 (4), pp. 441-444. Date of Electronic Publication: 2022 Jan 25.
DOI: 10.1080/01676830.2022.2026417
Abstrakt: A 61-year-old man with no significant past medical history presented to a quaternary ophthalmic referral center with acute right-sided medial canthal pain, periorbital edema, and erythema despite oral antibiotic therapy. CT imaging confirmed the presence of right preseptal cellulitis and lacrimal sac aspiration identified Enterobacter cloacae . A diagnosis of acute right-sided dacryocystitis with preseptal cellulitis was made. He was successfully treated with broadening of antibiotic therapy to intravenous meropenem. Symptomatic resolution was noted on follow-up without evidence of disease recurrence. This unusual case of Enterobacter cloacae dacryocystitis and preseptal cellulitis highlights the increasing prevalence and challenges of treating these uncommon organisms.
Databáze: MEDLINE
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