title: Burkholderia cepacia keratitis with endophthalmitis.
abstract: Keratitis with endophthalmitis of the right eye occurred in a 78-year-female following a complicated cataract surgery. Prompt intravitreal vancomycin and ceftazidime with topical fortified tobramycin and cefazolin treatments were started. The corneal, aqueous and vitreous cultures grew a Burkholderia cepacia complex (Bcc) strain on the fourth day. Restriction fragment length polymorphism analysis of the recA amplicon revealed B. cepacia genomovar I. The organism was found to be susceptible to ceftazidime, ciprofloxacin and ofloxacin. Topical ciprofloxacin was given immediately. At day 10, the pain relieved and the clinical condition of the patient improved with resolution of the purulent discharge, severe circumcorneal congestion and chemosis. The size of the corneal abscess and anterior chamber exudation decreased. The Bcc should be included among the bacterial species that may cause keratitis following intraocular surgeries.
authors: Department of Ophthalmology, School of Medicine, Kirikkale University, Kirikkale, Turkey.
authors: Kemal
authors: K
authors: Örnek
authors: Department of Ophthalmology, School of Medicine, Kirikkale University, Kirikkale, Turkey.
authors: Mehmet
authors: M
authors: Özdemir
authors: Department of Ophthalmology, School of Medicine, Kirikkale University, Kirikkale, Turkey.
authors: Ahmet
authors: A
authors: Ergin
mesh_terms: D000368:Aged; D019121:Burkholderia Infections / Q000382:microbiology* / Q000503:physiopathology; D042602:Burkholderia cepacia complex / Q000145:classification / Q000302:isolation & purification*; D002387:Cataract Extraction / Q000009:adverse effects*; D009877:Endophthalmitis / Q000150:complications / Q000382:microbiology; D015818:Eye Infections, Bacterial / Q000382:microbiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D007634:Keratitis / Q000150:complications / Q000382:microbiology