Postoperative endophthalmitis caused by Sphingomonas paucimobilis.
We present a case in which a new organism, Sphingomonas paucimobilis, caused endophthalmitis after phacoemulsification in a 73-year-old woman. The case shows a recurrent acute endophthalmitis with complete resolution only after vitrectomy. This organism has not been described as a cause of endophthalmitis and was resistant to initial medical management. We also describe an interaction between this organism and a co-infective organism that may account for the unusual clinical course.
Adams
Wendy E
WE
Ophthalmology Department, Sunderland Eye Infirmary, Sunderland, United Kingdom. wendy_stoer@yahoo.com
Habib
Maged
M
Berrington
Andrew
A
Koerner
Roland
R
Steel
David H
DH
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D012008:Recurrence; D020578:Sphingomonas / Q000302:isolation & purification*; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents