[Post-traumatic endophthalmitis with multiple water pathogens].
METHODS
A 37-y-old worker for a recycling company suffered from a corneal perforation by a wire which had been in contact with dirt and moisture.


RESULTS
Initially, the typical signs of an endophthalmitis were missing so that we only irrigated and instilled antibiotics into the anterior chamber. However, later on two pars-plana vitrectomies became necessary. At each operation a bacteriological examination was performed and we found four different species-Pseudomonas aeruginosa. Klebsiella oxytoca, Aeromonas caviae, Flavobacterium odoratum.


CONCLUSIONS
The latter two species are very rare in ophthalmology. This fact and some peculiarities in the clinical course of the patient's disease make him an unusual case. After unsuccessful irrigation of the anterior chamber vitrectomy ought to be performed immediately.
Janknecht
P
P
Augenklinik, Albert-Ludwigs-Universität, Freiburg.
Lindeman
S
S
Pelz
K
K
D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000209:etiology* / Q000601:surgery; D003315:Cornea / Q000382:microbiology; D065306:Corneal Injuries; D009877:Endophthalmitis / Q000209:etiology* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D014821:Vitrectomy; D014871:Water Microbiology