Aeromonas sobria endophthalmitis.
BACKGROUND
Aeromonas sobria causes a rare Gram-negative bacterial water-borne infection. It has been found in waters of North Queensland and South-east Asia. Of all Aeromonas species, A. sobria is the most virulent and invasive and has been reported to cause soft tissue infection and corneal ulcer.


METHODS
A 14-year-old Caucasian male from North Queensland presented following a penetrating eye injury in which a water bird (cormorant species) had pecked his eye while he was fishing. A fulminant endophthalmitis developed despite treatment with intravenous, intravitreal and topical antibiotics and initial wound repair. Enucleation was performed.


RESULTS
Aeromonas sobria was isolated from the vitreous aspirate.


CONCLUSIONS
Aeromonas sobria infection should be suspected in water-contaminated penetrating eye injuries. The prognosis in this case was poor.
Lee
L R
LR
Department of Ophthalmology, Royal Brisbane Hospital, Herston, Queensland, Australia. LLeeRetina@BTInternet.com
O'Hagan
S
S
Dal Pra
M
M
D000293:Adolescent; D000333:Aeromonas / Q000302:isolation & purification*; D000818:Animals; D000867:Anterior Chamber / Q000293:injuries / Q000382:microbiology / Q000473:pathology; D000900:Anti-Bacterial Agents; D001717:Birds; D002386:Cataract / Q000209:etiology; D003315:Cornea / Q000473:pathology; D065306:Corneal Injuries; D004333:Drug Administration Routes; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D009877:Endophthalmitis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D015353:Eye Enucleation; D015818:Eye Infections, Bacterial / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D015807:Eye Injuries, Penetrating / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D007498:Iris / Q000293:injuries / Q000473:pathology; D008297:Male; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents