Case report: Emerging species in post-traumatic endophthalmitis: .

Front Med (Lausanne)

Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Published: August 2024

is an uncommon cause of endophthalmitis. This case report describes a 40-year-old male admitted with pain, redness, and vision loss in his right eye after an open globe injury by a steel fragment. Clinical assessment confirmed post-traumatic endophthalmitis with an intraocular foreign body. The patient underwent a vitreous biopsy, lensectomy, vitrectomy, and intravitreal antibiotics, followed by laser photocoagulation and foreign body extraction via the pars plana. Acinetobacter johnsonii was isolated from the vitreous culture. A combination of vancomycin, levofloxacin and ceftazidime was administered, leading to reduced infection and inflammation. Postoperatively at one month, the patients' best-corrected visual acuity had improved to 20/63. The anterior segment exhibited no inflammation, the vitreous cavity was clear, and the retina with hemorrhage and laser treatment remained stable. The one-year follow-up confirmed the continued stability of the ocular condition. , a rare cause of endophthalmitis often linked to trauma or surgery, should be recognized as a possible pathogen in post-traumatic endophthalmitis cases, meriting clinical consideration.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347439PMC
http://dx.doi.org/10.3389/fmed.2024.1406277DOI Listing

Publication Analysis

Top Keywords

post-traumatic endophthalmitis
12
case report
8
foreign body
8
endophthalmitis
5
report emerging
4
emerging species
4
species post-traumatic
4
endophthalmitis uncommon
4
uncommon endophthalmitis
4
endophthalmitis case
4

Similar Publications

This study aimed to investigate the etiology, pathogens, antibiotic susceptibility, treatments, and factors influencing the visual prognosis of pediatric post-traumatic endophthalmitis (PTE) to provide valuable insights for clinical diagnosis and treatment. A total of 301 children were included, with 142 (47.2%) cultures yielding positive results.

View Article and Find Full Text PDF

Carotid-cavernous fistula (CCF) is a rare condition involving an abnormal communication between the carotid artery and the cavernous sinus. We present a unique case of posttraumatic unilateral CCF initially misdiagnosed as a corneal melt with iris prolapse and orbital cellulitis. The patient, a 25-year-old male, experienced swelling, bleeding, and sudden vision loss in the affected eye following a fall.

View Article and Find Full Text PDF

Purpose: To describe an alternative technique used in massive post-traumatic cyclodialysis. Classic techniques such as direct cyclopexy are performed ab externo and entail a higher risk of endophthalmitis or ciliary body hemorrhage. Therefore we present a case report using combined sewing machine technique cyclopexy with transscleral diode cyclophotocoagulation for complete post-traumatic cyclodialysis.

View Article and Find Full Text PDF

Comparison of the aetiology, microbiological isolates and antibiotic susceptibilities of endophthalmitis between children and adults in southern China: a retrospective, cohort study.

BMJ Open

November 2024

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of ophthalmology Ⅴisual Science, Guangzhou, Guangdong, China

Article Synopsis
  • - The study compares the causes, bacterial isolates, and antibiotic susceptibility of endophthalmitis in children versus adults, revealing trauma as the primary cause in both groups, with children experiencing it more frequently.
  • - In terms of microbial isolates, specific bacteria were prevalent in each age group: pediatric cases mostly involved certain species, while coagulase-negative staphylococci were more common in adults; fungi also played a notable role in adults' postoperative infections.
  • - Children showed higher antibiotic susceptibility rates compared to adults for the majority of tested antibiotics, with levofloxacin being the most effective for children and ofloxacin for adults.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!