Ovadendron sulphureo-ochraceum endophthalmitis after cataract surgery.
OBJECTIVE
We examined an 82-year-old woman with delayed-onset endophthalmitis caused by an opportunistic pathogen, Ovadendron sulphureo-ochraceum.


METHODS
Tissue obtained during vitrectomy was cultured and examined by light and electron microscopy. An enucleation specimen was examined by light microscopy.


RESULTS
The patient had fungal endophthalmitis, with O. sulphureo-ochraceum present in the lens capsule. The eye developed a necrotizing scleritis secondary to O. sulphureo-ochraceum. The patient failed to respond to intravitreous, subconjunctival, and systemic amphotericin B, and the eye was enucleated.


CONCLUSIONS
In this case of O. sulphureo-ochraceum as a human pathogen, the organism caused endophthalmitis after cataract extraction.
Lee
B L
BL
Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia.
Grossniklaus
H E
HE
Capone
A
A
Padhye
A A
AA
Sekhon
A S
AS
D000368:Aged; D000369:Aged, 80 and over; D000666:Amphotericin B / Q000008:administration & dosage; D002387:Cataract Extraction / Q000009:adverse effects*; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D015353:Eye Enucleation; D015821:Eye Infections, Fungal / Q000188:drug therapy; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000382:microbiology; D007910:Lenses, Intraocular; D003904:Mitosporic Fungi / Q000302:isolation & purification* / Q000648:ultrastructure; D009181:Mycoses / Q000188:drug therapy; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000666:Amphotericin B