Quinupristin/dalfopristin in Staphylococcus aureus endophthalmitis: a case report

Autor: Hernandez-Da Mota Sergio E
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 5, Iss 1, p 130 (2011)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-5-130
Popis: Abstract Introduction The intravitreal injection of antibiotics remains the mainstay of therapy for postoperative endophthalmitis. Bacterial resistance, however, is still a pitfall in achieving an adequate response to treatment. Quinupristin/dalfopristin might be a feasible therapeutic option in these cases. Case presentation A 55-year-old Hispanic man had endophthalmitis secondary to Staphylococcus aureus in his right eye and was treated with intravitreal 0.4 mg/0.1 ml quinupristin/dalfopristin injection. Inflammation and pain remission were observed at four days after injection. The final best-corrected visual acuity was 20/40. Conclusion Although vancomycin remains the first-line intravitreal antibiotic therapy against infectious endophthalmitis caused by Gram-positive bacteria, quinupristin/dalfopristin exhibits similar efficacy and is theoretically more active against vancomycin-resistant strains, with no apparent retinal toxicity.
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