Clostridium sordellii endophthalmitis after suture removal from a corneal transplant.
OBJECTIVE
To report a case of endophthalmitis caused by Clostridium sordellii.


METHODS
A 33-year-old man sustained a penetrating injury of the right eye that resulted in several ocular surgical procedures including pars plana vitrectomy, scleral buckling, scleral-sutured posterior chamber intraocular lens, and penetrating keratoplasty. More than 4 years after the penetrating injury he presented for examination with pain, photophobia, redness, decreased vision, and floaters in the right eye. Vitreous culture grew Clostridium sordellii.


RESULTS
Following intravitreal injection of antibiotics, the patient's vision improved from 3/200 to 20/80 (baseline visual acuity) within 2 days. All signs of inflammation resolved without recurrence.


CONCLUSIONS
Clostridium sordellii endophthalmitis may have a more benign course than the fulminant endophthalmitis typically seen with other Clostridium species.
Zink
Jeffrey M
JM
Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan 48105, USA.
Singh-Parikshak
Rita
R
Sugar
Alan
A
Johnson
Mark W
MW
D000328:Adult; D000900:Anti-Bacterial Agents; D003013:Clostridium / Q000302:isolation & purification*; D003015:Clostridium Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005131:Eye Injuries / Q000601:surgery; D006801:Humans; D007267:Injections; D015948:Keratoplasty, Penetrating; D008297:Male; D008826:Microbial Sensitivity Tests; D013536:Suture Techniques; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents