Infective endophthalmitis caused by Bacillus cereus after cataract extraction surgery.
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.
Chan
Wai-Man
WM
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
Liu
David T L
DT
Chan
Carmen K M
CK
Chong
Kelvin K L
KK
Lam
Dennis S C
DS
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