Shewannela putrefaciens endophthalmitis after penetrating keratoplasty.
OBJECTIVE
To report a case of Shewannela putrefaciens endophthalmitis after penetrating keratoplasty.


METHODS
Case report. Vitreous of the recipient and the preservative medium of donor cornea were cultured.


RESULTS
Vitreous of the recipient eye and the donor eye corneal preservative medium both grew S putrefaciens. The patient failed to respond to intravitreal, topical, and systemic amikacin and cefotaxime. Vision was lost rapidly. Evisceration was performed.


CONCLUSIONS
Shewannela putrefaciens should be considered as a potential pathogen contaminating donor cornea. Shewannela putrefaciens endophthalmitis is devastating and responds poorly to medical treatment.
Hou
Y C
YC
Department of Ophthalmology, National Taiwan University Hospital, Taipei, ROC.
Hu
F R
FR
D000328:Adult; D000900:Anti-Bacterial Agents; D003315:Cornea / Q000382:microbiology / Q000601:surgery; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000382:microbiology* / Q000628:therapy; D017234:Eye Evisceration; D015818:Eye Infections, Bacterial / Q000209:etiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000382:microbiology* / Q000628:therapy; D011549:Pseudomonas / Q000302:isolation & purification*; D011552:Pseudomonas Infections / Q000209:etiology / Q000628:therapy; D012086:Reoperation; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents