Clostridium beijerinckii endophthalmitis secondary to penetrating ocular injury.
Endophthalmitis occurs in five to 10% of injuries involving intraocular foreign bodies. A 52 year old abattoir worker sustained such penetrating ocular trauma and developed fulminant endophthalmitis. Clostridium beijerinckii was isolated from the vitreous humor. Intravitreal vancomycin and amikacin and intravenous penicillin and clindamycin were given. Despite therapeutic vancomycin and amikacin levels in the vitreous, vision was lost and enucleation was ultimately required.
Newton
P J
PJ
Department of Microbiology and Infectious Diseases, South Western Area Pathology Service, Liverpool, Sydney.
Gosbell
I B
IB
Munro
R
R
D003013:Clostridium / Q000302:isolation & purification*; D009877:Endophthalmitis / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology*; D015807:Eye Injuries, Penetrating / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed