Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure.

Autor: Rohowetz LJ; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Patel NA; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Quan AV; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Fan KC; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Yannuzzi NA; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Reyes-Capó DP; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Laura D; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Ansari ZA; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Patel U; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Dubovy SR; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA., Flynn HW Jr; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, USA.
Jazyk: angličtina
Zdroj: Case reports in ophthalmology [Case Rep Ophthalmol] 2021 Nov 25; Vol. 12 (3), pp. 921-926. Date of Electronic Publication: 2021 Nov 25 (Print Publication: 2021).
DOI: 10.1159/000516664
Abstrakt: Agrobacterium radiobacter is a Gram-negative bacillus and a rare cause of endophthalmitis. An 85-year-male presented with late-onset endophthalmitis associated with exposure of an inferonasal Baerveldt tube. The patient was initially treated with anterior chamber paracentesis and intravitreal antibiotics. Aqueous humor culture revealed A. radiobacter resistant to cefazolin, ceftazidime, amikacin, tobramycin, and trimethoprim-sulfamethoxazole. Subsequently, the patient underwent explantation of the glaucoma drainage implant (GDI). After initial improvement, the patient had clinical worsening and was diagnosed with recurrence. Subsequent treatment involved explantation of the second GDI in addition to pars plana vitrectomy with silicone oil infusion, intraocular lens removal, and administration of intravitreal antibiotics. Visual acuity improved but remained at count fingers at 2 weeks. This is the first reported patient with A. radiobacter endophthalmitis associated with an exposed GDI. This report illustrates the resistant nature of this organism in addition to the efficacy of silicone oil administration and intraocular prosthesis explantation.
Competing Interests: The authors have no conflicts of interest to declare.
(Copyright © 2021 by S. Karger AG, Basel.)
Databáze: MEDLINE
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