Postoperative Morganella morganii endophthalmitis associated with subclinical urinary tract infection.
We report a case of Morganella morganii acute endophthalmitis following clear corneal phacoemulsification cataract surgery in which a coincident asymptomatic chronic urinary tract infection was detected postoperatively. Morganella morganii is a gram-negative bacillus that inhabits the gastrointestinal tract and is part of the normal fecal flora. It is an opportunistic pathogen usually encountered in postoperative and nosocomial settings, causing urinary tract and wound infections. Chronic urinary tract infection may be a risk factor for postoperative endophthalmitis. A dipstick urinalysis before elective cataract surgery in elderly patients with a history of recurrent urinary tract infections may be considered.
Tsanaktsidis
Gina
G
Western Sydney Eye Hospital, Wentworthville, New South Wales 2145, Australia.
Agarwal
Smita A
SA
Maloof
Anthony J
AJ
Chandra
Jay
J
Mitchell
Paul
P
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000382:microbiology* / Q000628:therapy; D004756:Enterobacteriaceae Infections / Q000382:microbiology / Q000628:therapy; D017234:Eye Evisceration; D015818:Eye Infections, Bacterial / Q000382:microbiology / Q000628:therapy; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D020613:Morganella morganii / Q000302:isolation & purification*; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications / Q000382:microbiology* / Q000628:therapy; D014552:Urinary Tract Infections / Q000382:microbiology*; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents