An Atypical Presentation of Propionibacterium Acnes Endophthalmitis Following Cataract Surgery.

Autor: Livnat I; University of Illinois at Urbana-Champaign, Urbana, IL, USA., Daniels J; Northwestern University, Evanston, IL, USA., Labriola LT; Carle Foundation Hospital, Urbana, IL, USA., Tsipursky MS; Carle Foundation Hospital, Urbana, IL, USA.
Jazyk: angličtina
Zdroj: Journal of vitreoretinal diseases [J Vitreoretin Dis] 2020 Jan 03; Vol. 4 (4), pp. 332-336. Date of Electronic Publication: 2020 Jan 03 (Print Publication: 2020).
DOI: 10.1177/2474126419895873
Abstrakt: Purpose: To describe a case with an unusual presentation of Propionibacterium acnes ( P acnes ) with ultimately a good visual outcome.
Methods: A case report with review of approaches to P acnes endophthalmitis.
Results: We describe a patient with an unusual presentation of P acnes of panuveitis with white, circular preretinal lesions without intracapsular deposits. Diagnosis was made from cultures from pars plana vitrectomy. Eventually, she was definitively managed with capsulectomy, repositioning of her intraocular lens via sutureless intrascleral fixation, and intravitreal vancomycin injection.
Conclusion: This is a report of P acnes endophthalmitis presenting with discrete preretinal lesions where surgical and medical management lead to a complete resolution of uveitis and symptoms after a 3-year follow up where the patient's final visual acuity was Snellen 20/20 OU.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2020.)
Databáze: MEDLINE