Post-keratoplasty Endophthalmitis by Multidrug-resistant Pseudomonas Aeruginosa With Positive Culture of the Contralateral Donor Cornea: A Case Report
| Autor: | V.M. Bautista-de Lucio, C. Rodriguez-Quintanilla, Enrique O Graue-Hernandez, Juan Carlos Serna-Ojeda, Diana Gabriela Ponce-Angulo, Lucero Pedro-Aguilar, Alejandro Navas, Herlinda Mejia-Lopez |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Transplants Drug resistance medicine.disease_cause Cornea Corneal Transplantation 03 medical and health sciences 0302 clinical medicine Endophthalmitis Postoperative Complications Ophthalmology medicine Humans Donor cornea Pseudomonas Infections Corneal transplantation Aged Transplantation Pseudomonas aeruginosa business.industry Multidrug resistant Pseudomonas aeruginosa Drug Resistance Microbial medicine.disease Tissue Donors Vitreous Body medicine.anatomical_structure 030221 ophthalmology & optometry Positive culture Surgery sense organs business 030217 neurology & neurosurgery |
| Zdroj: | Transplantation proceedings. 50(3) |
| ISSN: | 1873-2623 |
| Popis: | Purpose The aim of this paper is to present the case report of a patient developing endophthalmitis after penetrating keratoplasty caused by a multidrug-resistant Pseudomonas aeruginosa, detected only in the contralateral donor tissue. Case Report A 77-year-old man underwent an uneventful penetrating keratoplasty with a preoperative culture-negative donor cornea; however, the fellow cornea grew multidrug-resistant Pseudomonas aeruginosa. The patient developed and was treated for endophthalmitis after penetrating keratoplasty, and aqueous and vitreous taps grew P. aeruginosa with antibiotic resistance identical to the isolate from the mate cornea. Sequence analysis of the 16S ribosomal gene from the two isolates and confirmation analyzing the sequence of P. aeruginosa heat shock protein gene (groES) were performed showing the same strain for both organisms. Conclusion This case report documents the presence of the same multidrug-resistant P. aeruginosa causing endophthalmitis after penetrating keratoplasty and in the contralateral donor tissue, suggesting that we must be cautious in deciding to transplant tissues with positive culture in the contralateral donor cornea. |
| Databáze: | OpenAIRE |
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