title: A case of bacterial endophthalmitis following perforating injury caused by a cat claw.
abstract: A case of bacterial endophthalmitis following a perforating ocular injury caused by a cat claw is reported. The scleral wound was sutured immediately following the injury and systemic antibiotics were administered. Despite this treatment, endophthalmitis occurred 3 days after the injury. The endophthalmitis was resolved by pars plana vitrectomy, however preretinal reproliferation and retinal detachment subsequently occurred. After reoperation the retina was reattached and the corrected visual acuity improved from 10 cm/HM to 20/200. Pseudomonas aeruginosa was detected in cultured vitreous humor that was collected during surgery. This case illustrates the possibility of endophthalmitis being caused by gram negative bacillus in cases of perforating injuries caused by animal claws. Perforating ocular injuries caused by animal claws are relatively rare. Here we report a case of endophthalmitis due to Pseudomonas aeruginosa that occurred after a perforating injury caused by a cat claw. The eye was treated by pars plana vitrectomy.
authors.affiliation: Department of Ophthalmology, Kyoto Prefectural University of Medicine, Japan. kd126@mbox.kyoto-inet.or.jp
authors.forename: M
authors.initials: M
authors.lastname: Doi
authors.forename: T
authors.initials: T
authors.lastname: Ikeda
authors.forename: T
authors.initials: T
authors.lastname: Yasuhara
authors.forename: K
authors.initials: K
authors.lastname: Koizumi
authors.forename: T
authors.initials: T
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents; D002415:Cats; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006724:Hoof and Claw; D006801:Humans; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D012590:Sclera / Q000293:injuries*; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents