title: A case of postoperative Sphingomonas paucimobilis endophthalmitis after cataract extraction.
abstract: OBJECTIVE
  To report a case of an acute onset of delayed postoperative endophthalmitis that was caused by Sphingomonas paucimobilis.
  
  
  METHODS
  This case demonstrates an acute onset of delayed postoperative endophthalmitis at 3 months after uneventful cataract extraction and posterior chamber intraocular lens implantation. We performed vitrectomy, intraocular lens and capsular bag removal, and intravitreal antibiotics injection. On the smear stains from the aspirated vitreous humor, gram-negative bacilli were detected and S. paucimobilis was found in culture.
  
  
  RESULTS
  At three months after vitrectomy, the best corrected visual acuity was 20/300. Fundus examination showed mild pale color of optic disc and macular degeneration.
  
  
  CONCLUSIONS
  Vitrectomy with intravitreal ceftazidime injection had contributed to the favorable result in case of an acute onset of delayed postoperatire endophthalmitis caused by S. paucimobilis.
authors.affiliation: Department of Ophthalmology, Gyeongsang National University, College of Medicine, Jinju, Korea.
authors.forename: Seong Wook
authors.initials: SW
authors.lastname: Seo
authors.forename: In Young
authors.initials: IY
authors.lastname: Chung
authors.forename: Eurie
authors.initials: E
authors.lastname: Kim
authors.forename: Jong Moon
authors.initials: JM
authors.lastname: Park
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002442:Ceftazidime / Q000627:therapeutic use; D003131:Combined Modality Therapy; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D020578:Sphingomonas / Q000302:isolation & purification*; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D002442:Ceftazidime