Pasteurella multocida endophthalmitis: case report and review of the literature.
BACKGROUND
Postoperative bacterial endophthalmitis is caused by the patient's endogenous flora in most cases (80 %). Pasteurella multocida (PM) is a Gram-negative coccobacillus found in the upper respiratory tract of dogs and cats and is very rarely implicated in postoperative endophthalmitis.


METHODS
We describe a case of PM endophthalmitis that developed after cataract surgery.


RESULTS
Cultures of both the conjunctiva and the aqueous humor were positive for PM. Topical, intravitreous and intravenous antibiotics were administered. Despite treatment, the outcome was unfavourable and complicated by a corneal perforation.


CONCLUSIONS
The prognosis of postoperative PM endophthalmitis remains poor, despite adequate treatment of the infection. A history of recent pet exposure should alert physicians to this possible aetiological factor.
Dang Burgener
N P
NP
Clinique d'Ophtalmologie, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
Baglivo
E
E
Harbarth
S
S
Sahabo
C
C
Pittet
D
D
Safran
A B
AB
D000368:Aged; D000369:Aged, 80 and over; D001082:Aqueous Humor; D001431:Bacteriological Techniques; D002442:Ceftazidime / Q000008:administration & dosage; D003228:Conjunctiva / Q000382:microbiology; D003315:Cornea / Q000473:pathology; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D009877:Endophthalmitis / Q000175:diagnosis*; D006801:Humans; D007262:Infusions, Intravenous; D007267:Injections; D008297:Male; D009336:Necrosis; D009883:Ophthalmic Solutions; D010326:Pasteurella Infections / Q000175:diagnosis*; D016979:Pasteurella multocida; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000175:diagnosis*; D014640:Vancomycin / Q000008:administration & dosage; D014822:Vitreous Body
D009883:Ophthalmic Solutions; D014640:Vancomycin; D002442:Ceftazidime