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Post-Traumatic Endophthalmitis Caused by Oerskovia turbata

PURPOSE: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. CASE REPORT: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and...

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Detalles Bibliográficos
Autores principales: Rohowetz, Landon J., Patel, Nimesh A., Yannuzzi, Nicolas A., Fan, Kenneth C., Miller, Darlene, Flynn Jr., Harry W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787431/
https://www.ncbi.nlm.nih.gov/pubmed/31607896
http://dx.doi.org/10.1159/000502413
Descripción
Sumario:PURPOSE: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. CASE REPORT: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up. CONCLUSION: This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.