Posttraumatic cellulitis and ulcerative conjunctivitis caused by Yersinia enterocolitica O:8.
A 55-year-old white man presented with orbital cellulitis and suspicion of an intraorbital foreign body after ocular trauma. He underwent orbital exploration, but no intraorbital foreign bodies were identified. Intraoperative orbital and conjunctival cultures grew Yersinia enterocolitica O:8. The patient's signs and symptoms resolved with intravenous antibiotic treatment after this exploratory orbitotomy. This is the first case, to our knowledge, of human orbital cellulitis caused by Y. enterocolitica O:8. The single visible interpalpebral conjunctival ulceration was suspected to be an entry wound by the patient's primary physician, the emergency room physician, and the orbital surgeon prior to surgical investigation, at which time all the other ulcerations were identified. Therefore, the physical manifestations of this rare but important infection are presented because they may mislead clinicians in suspecting an intraorbital foreign body.
Mills
David M
DM
Ophthalmic Plastic Surgery, Albany Medical Center, Lions Eye Institute, Albany, New York 12159, USA. davidmills4186@msn.com
Meyer
Dale R
DR
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003234:Conjunctivitis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D065306:Corneal Injuries; D005131:Eye Injuries / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D015242:Ofloxacin / Q000627:therapeutic use; D054517:Orbital Cellulitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D014057:Tomography, X-Ray Computed; D014456:Ulcer / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D015009:Yersinia Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D015008:Yersinia enterocolitica / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents; D000077725:Piperacillin, Tazobactam Drug Combination; D010397:Penicillanic Acid; D015242:Ofloxacin; D010878:Piperacillin