Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome

Autor: Scott Butikofer, Jason M. Dettori, G. Atma Vemulakonda, Mark Slabaugh
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Ophthalmology, Vol 4, Iss 1, Pp 42-45 (2013)
Druh dokumentu: article
ISSN: 1663-2699
DOI: 10.1159/000350270
Popis: We report a positive outcome of postcataract endophthalmitis caused by Enterobacter cloacae, which has previously resulted in poor outcomes in endophthalmitis. A 67-year-old man underwent uncomplicated cataract surgery. On the morning of postoperative day (POD) #1, he had significant anterior chamber inflammation without pain, hypopyon, or vitritis but then rapidly developed hypopyon and worsening visual acuity. He underwent a tap and inject with vancomycin and ceftazidime and was prescribed topical steroids and antibiotics as well as oral levofloxacin. On POD #3, cultures of the vitreous and aqueous returned positive for E. cloacae. By POD #6, his hypopyon had resolved with improved vitritis, decreased inflammation, and visual acuity of 20/200. Two weeks after surgery, his best-corrected visual acuity was 20/60. Contrary to prior reports, we demonstrate that it is possible to achieve a good outcome in cases of E. cloacae endophthalmitis treated early with appropriate antibiotics and anti-inflammatory agents.
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