Post-Traumatic Endophthalmitis Caused by Oerskovia turbata

Autor: Rohowetz, Landon J., Patel, Nimesh A., Yannuzzi, Nicolas A., Fan, Kenneth C., Miller, Darlene, Flynn Jr., Harry W.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Ophthalmology
ISSN: 1663-2699
Popis: Purpose To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. Case Report A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up. Conclusion This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.
Databáze: OpenAIRE
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