Postcataract endophthalmitis caused by Mycobacterium goodii.
This is the first reported case of delayed-onset postcataract endophthalmitis caused by Mycobacterium goodii, confirmed by multiple cultures. The patient had uneventful cataract removal by phacoemulsification with implantation of a posterior chamber intraocular lens (IOL). One month later, he developed redness, pain, a hypopyon, and a decrease in visual acuity to finger counting in the affected eye. A vitreous biopsy was performed for suspected endophthalmitis; culture results showed rapidly growing bacteria identified by DNA sequencing as Mycobacterium goodii. The eye ultimately required IOL explantation but had a good final outcome with 20/40 uncorrected vision. Mycobacterium goodii is a rapidly growing Mycobacterium with isolates more commonly occurring in cellulitis, osteomyelitis, and respiratory disease. Single-drug antibiotic therapy for nonocular disease is often sufficient if the correct antimicrobial agent is used. The newer fluoroquinolones are promising against rapidly growing Mycobacterium.
Spencer
Terrence S
TS
Moran Eye Center, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA.
Teske
Michael P
MP
Bernstein
Paul S
PS
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004269:DNA, Bacterial / Q000032:analysis; D020878:Device Removal; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D009170:Nontuberculous Mycobacteria / Q000235:genetics / Q000302:isolation & purification*; D018918:Phacoemulsification; D011183:Postoperative Complications; D014821:Vitrectomy
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial