Endophthalmitis caused by Mycobacterium abscessus.
OBJECTIVE
To describe the clinical and laboratory features of a case of endophthalmitis caused by Mycobacterium abscessus in a patient immunocompetent.


METHODS
case report. A 65-year-old woman with bilateral cataracts was treated by surgery with phacoemulsification and posterior chamber lens implantation.


RESULTS
The funduscopic examination showed vitreous cells over the optic nerve head, chorioretinal infiltrates, and focal vasculitis. Vitreous humor aspirate disclosed acid-fast bacilli. In the culture on Löwenstein-Jensen medium grew colonies identified as M. abscessus.


CONCLUSIONS
M. abscessus is cause of endophthalmitis and crystalline keratopathy. Risk factor include surgical intervention or exogenous contamination. Our patient has no systemic pathology predisposing to the development of endophthalmitis.
Marín-Casanova
P
P
Department of Microbiology, Hospital Universitario "Puerta del Mar," Cádiz, Spain. micro.hpm.sspe@juntaandalucia.es
Calandria Amiguetti
J L
JL
García-Martos
P
P
Lozano Dominguez
C
C
Sanabria
B Hoyos
BH
Puerto Alonso
J L
JL
García-Tapia
A
A
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008826:Microbial Sensitivity Tests; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000382:microbiology*; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification*; D018918:Phacoemulsification; D011183:Postoperative Complications; D016896:Treatment Outcome; D014792:Visual Acuity; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents; D017291:Clarithromycin