[Morganella morganii endophthalmitis after vitrectomy: case report and review of the literature].
BACKGROUND
Postoperative bacterial endophthalmitis are caused in 80 % of the cases by the patient's own flora. Most of the time, bacterial agents are Gram-positive ((2/3) of cases) and more rarely Gram-negative ((1/3) of cases). Usually, Pseudomonas sp, Proteus sp or Klebsiella sp are isolated, but very rarely Morganella morganii.


METHODS
We describe a case of a Morganella morganii endophthalmitis which occurred after a vitrectomy.


RESULTS
Bacterial examinations disclosed the presence of Morganella morganii in the vitreous. An aggressive treatment (intravitreous [ceftazidim, vancomycin], topical [gentamycin, chloramphenicol] and intravenous [imipenem, ofloxacin] antibiotics) was introduced. In spite of this treatment, the outcome was not favorable.


CONCLUSIONS
Post-vitrectomy endophthalmitis is very rare and the isolation of a Gram-negative bacteria, in this case Morganella morganii, is infrequent. The outcome of these infections is often poor despite the introduction of a rapid, specific and aggressive treatment.
Zaninetti
Marc
M
Clinique universitaire d'ophtalmologie, Genève, Suisse.
Baglivo
Edoardo
E
Safran
Avinoam B
AB
D000368:Aged; D000900:Anti-Bacterial Agents; D003318:Corneal Opacity / Q000175:diagnosis / Q000188:drug therapy; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000175:diagnosis* / Q000188:drug therapy; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000188:drug therapy; D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D020613:Morganella morganii; D009887:Ophthalmoscopy; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy; D014787:Vision Tests; D014821:Vitrectomy
D000900:Anti-Bacterial Agents