Acute postoperative endophthalmitis caused by Gemella morbillorum.
OBJECTIVE
We present a case of Gemella morbillorum endophthalmitis after uneventful cataract surgery.


METHODS
A 78-year-old woman developed progressive blurring of vision, hypopyon, and vitritis in the precocious postoperatory following cataract surgery. Pars plana vitrectomy and intraocular lens explantation were performed followed by intravitreal injection of vancomycin and ceftazidime. Postoperatively, the patient was given hourly topical fortified vancomycin according to antimicrobial susceptibility testing. At the final follow-up visit 6 months after the initial procedure, visual acuity was 20/50 and no signs or symptoms of endophthalmitis were observed.


RESULTS
The undiluted vitreous samples and explanted lens were analyzed. Cultures revealed the growth of G morbillorum, an infrequent opportunistic pathogen.


CONCLUSIONS
To date, this is the second reported case of postoperative endophthalmitis by this species. Although endophthalmitis is rare, ophthalmologists should be alert to the possibility of patients having endophthalmitis caused by G morbillorum. Especially, it is necessary to be cautious with surgery in patients with recent infections. A review of the medical literature of this rare ocular infection is presented.
Ascaso
Francisco J
FJ
Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza - Spain. jascaso@gmail.com
Cardeñosa
Eugenia
E
Cascante
José M
JM
Lario
Blanca
B
Pérez
Diana
D
Cristóbal
José A
JA
D000208:Acute Disease; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020878:Device Removal; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007910:Lenses, Intraocular; D008826:Microbial Sensitivity Tests; D018918:Phacoemulsification; D011183:Postoperative Complications; D040141:Staphylococcaceae / Q000302:isolation & purification*; D014640:Vancomycin / Q000627:therapeutic use; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000900:Anti-Bacterial Agents; D014640:Vancomycin