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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697240/ http://dx.doi.org/10.4103/ojo.ojo_298_22 |
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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 |
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