title: Infective endophthalmitis caused by Bacillus cereus after cataract extraction surgery.
abstract: We describe a 72-year-old Chinese man who developed fulminant Bacillus cereus endophthalmitis 36 h after an uneventful surgery for cataract extraction. Clinical progression of disease was extremely rapid, in spite of early vitrectomy and intravitreal injection of antibiotics. Results of Gram staining showed gram-positive bacilli, and the culture was positive for B. cereus. Endophthalmitis is rare after cataract surgery (cumulative probability within 1 year, approximately 0.08%), and cases caused by B. cereus are even less common. The prognosis and plan of treatment are discussed.
authors.affiliation: Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, People's Republic of China. cwm6373@netvigator.com
authors.forename: Wai-Man
authors.initials: WM
authors.lastname: Chan
authors.forename: David T L
authors.initials: DT
authors.lastname: Liu
authors.forename: Carmen K M
authors.initials: CK
authors.lastname: Chan
authors.forename: Kelvin K L
authors.initials: KK
authors.lastname: Chong
authors.forename: Dennis S C
authors.initials: DS
authors.lastname: Lam
mesh_terms: D016863:Bacillaceae Infections / Q000209:etiology*; D001409:Bacillus cereus; D002387:Cataract Extraction / Q000009:adverse effects*; D009877:Endophthalmitis / Q000209:etiology*; D015818:Eye Infections, Bacterial / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications