Late onset posttraumatic Propionibacterium acnes endophthalmitis.
OBJECTIVE
To report a case of late onset posttraumatic endophthalmitis secondary to Propionibacterium acnes infection.


METHODS
Interventional case report.


RESULTS
A 28-year-old man developed endophthalmitis 6 months after a penetrating trauma. The patient underwent pars plana lensectomy and vitrectomy along with injection of intravitreal antibiotics. Anaerobic cultures of the vitreous yielded P. acnes. Seven months after surgery, the eye was quiet with a best-corrected visual acuity of 20/60.


CONCLUSIONS
This case emphasizes the importance of considering P acnes when treating patients with late onset posttraumatic endophthalmitis.
El-Asrar
A M Abu
AM
Department of Ophthalmology College of Medicine, King Saud University, Riyadh--Saudi Arabia. abuasrar@KSU.edu.sa
Al-Obeidan
S A
SA
Yeboah
E A
EA
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000382:microbiology* / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011425:Propionibacterium acnes / Q000302:isolation & purification*; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
D000900:Anti-Bacterial Agents