title: Infection of a porous polyethylene orbital implant with Capnocytophaga.
abstract: A 68-year-old woman experienced an infection of a porous polyethylene orbital implant caused by Capnocytophaga after a dental procedure. The infection was unresponsive to both topical and oral antibiotics and required removal of the porous polyethylene orbital implant. Capnocytophaga is a capnophilic, gram-negative bacillus. Capnocytophaga is a normal commensal of the mouth and is responsible for both gingivitis and periodontal disease. Capnocytophaga is a rare cause of ocular infections. This is the first reported patient with an infection of a porous polyethylene orbital implant caused by Capnocytophaga. The authors believe infected integrated orbital implants must be removed because neither topical or systemic therapy provide effective treatment.
authors.affiliation: Casey Eye Institute, Oregon Health Sciences University, Portland 97201, USA.
authors.forename: M W
authors.initials: MW
authors.lastname: Wilson
authors.forename: J L
authors.initials: JL
authors.lastname: Wobig
authors.forename: R A
authors.initials: RA
authors.lastname: Dailey
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents; D002206:Capnocytophaga / Q000302:isolation & purification*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D020273:Orbital Implants / Q000382:microbiology*; D011095:Polyethylenes; D016062:Porosity; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012086:Reoperation
chemical_list: D000900:Anti-Bacterial Agents; D011095:Polyethylenes