Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report

Endophthalmitis is an uncommon purulent inflammation of the intraocular fluids secondary to endogenous or exogenous causes. It is known that posttraumatic endophthalmitis had a notably poor visual outcome, and it poses therapeutic challenges. Therefore, early organism detection would be beneficial i...

Descripción completa

Detalles Bibliográficos
Autores principales: Alias, Nur-Syifa Athirah Qistina, Bari, Muhd-Syafi Abd, Jabbari, Aidila Jesmin, Salam, Adzura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697240/
http://dx.doi.org/10.4103/ojo.ojo_298_22
_version_ 1785154724024025088
author Alias, Nur-Syifa Athirah Qistina
Bari, Muhd-Syafi Abd
Jabbari, Aidila Jesmin
Salam, Adzura
author_facet Alias, Nur-Syifa Athirah Qistina
Bari, Muhd-Syafi Abd
Jabbari, Aidila Jesmin
Salam, Adzura
author_sort Alias, Nur-Syifa Athirah Qistina
collection PubMed
description Endophthalmitis is an uncommon purulent inflammation of the intraocular fluids secondary to endogenous or exogenous causes. It is known that posttraumatic endophthalmitis had a notably poor visual outcome, and it poses therapeutic challenges. Therefore, early organism detection would be beneficial in therapeutic management and are able to reduce long-term complications. This case report describes a patient with a rare positive culture-proven Sphingomonas paucimobilis endophthalmitis due to penetrating ocular trauma by a metal brush over the right eye. A 36-year-old man presented with progressively worsening right eye redness and blurring of vision with pain for 3 days following ocular penetration by a metal brush during grinding. On initial presentation, his visual acuity was 6/12 over the right eye and 6/6 over the left eye. His visual acuity deteriorated to hand movement 5 days later with worsening of ocular infection over the right eye despite topical and oral antibiotics. B-scan revealed dense vitreous infiltration. A vitreous tap was done, and a combination of intravitreal vancomycin and ceftazidime was administered. Vitreous culture isolated Gram negative S. paucimobilis. The patient was planned for early vitrectomy; however, the patient opted for conservative treatment. Therefore, the patient received intravitreal vancomycin and intravitreal ceftazidime injections every 48–72 h. Published articles on S. paucimobilis endophthalmitis postocular penetration are extremely limited. This case report may provide a better understanding of the presentation and is able to aid with early diagnosis and treatment initiation for future reference.
format Online
Article
Text
id pubmed-10697240
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-106972402023-12-06 Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report Alias, Nur-Syifa Athirah Qistina Bari, Muhd-Syafi Abd Jabbari, Aidila Jesmin Salam, Adzura Oman J Ophthalmol Case Report Endophthalmitis is an uncommon purulent inflammation of the intraocular fluids secondary to endogenous or exogenous causes. It is known that posttraumatic endophthalmitis had a notably poor visual outcome, and it poses therapeutic challenges. Therefore, early organism detection would be beneficial in therapeutic management and are able to reduce long-term complications. This case report describes a patient with a rare positive culture-proven Sphingomonas paucimobilis endophthalmitis due to penetrating ocular trauma by a metal brush over the right eye. A 36-year-old man presented with progressively worsening right eye redness and blurring of vision with pain for 3 days following ocular penetration by a metal brush during grinding. On initial presentation, his visual acuity was 6/12 over the right eye and 6/6 over the left eye. His visual acuity deteriorated to hand movement 5 days later with worsening of ocular infection over the right eye despite topical and oral antibiotics. B-scan revealed dense vitreous infiltration. A vitreous tap was done, and a combination of intravitreal vancomycin and ceftazidime was administered. Vitreous culture isolated Gram negative S. paucimobilis. The patient was planned for early vitrectomy; however, the patient opted for conservative treatment. Therefore, the patient received intravitreal vancomycin and intravitreal ceftazidime injections every 48–72 h. Published articles on S. paucimobilis endophthalmitis postocular penetration are extremely limited. This case report may provide a better understanding of the presentation and is able to aid with early diagnosis and treatment initiation for future reference. Wolters Kluwer - Medknow 2023-10-18 /pmc/articles/PMC10697240/ http://dx.doi.org/10.4103/ojo.ojo_298_22 Text en Copyright: © 2023 Oman Ophthalmic Society https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Alias, Nur-Syifa Athirah Qistina
Bari, Muhd-Syafi Abd
Jabbari, Aidila Jesmin
Salam, Adzura
Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report
title Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report
title_full Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report
title_fullStr Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report
title_full_unstemmed Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report
title_short Sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: A rare case report
title_sort sphingomonas paucimobilis endophthalmitis postpenetration ocular trauma: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697240/
http://dx.doi.org/10.4103/ojo.ojo_298_22
work_keys_str_mv AT aliasnursyifaathirahqistina sphingomonaspaucimobilisendophthalmitispostpenetrationoculartraumaararecasereport
AT barimuhdsyafiabd sphingomonaspaucimobilisendophthalmitispostpenetrationoculartraumaararecasereport
AT jabbariaidilajesmin sphingomonaspaucimobilisendophthalmitispostpenetrationoculartraumaararecasereport
AT salamadzura sphingomonaspaucimobilisendophthalmitispostpenetrationoculartraumaararecasereport