A case of bilateral endogenous Pantoea agglomerans endophthalmitis with interstitial lung disease.
We here in report a case of bilateral endogenous endophthalmitis caused by Pantoea agglomerans (P. agglomerans) in a patient who had interstitial lung disease and was treated with oral corticosteroids. A 72-year-old man presented with decreased visual acuity in both eyes nine days after he received oral corticosteroids. He had marked uveitis, cataracts, and vitreous opacities. Cultures were taken of blood, aqueous humor, and vitreous. We initially suspected a fungal etiology and treated him with antifungal drugs; however, the intraocular disease progressed without improvement. Vitreous culture was positive for P. agglomerans. The patient underwent pars plana vitrectomy with cataract surgery bilaterally, followed by a 2-week course of antibiotics. The final visual acuity was 20/25 in the right eye and 20/200 in the left eye. This is the first report of bilateral endogenous endophthalmitis caused by P. agglomerans in Korea; it is also the first case reported outside of the United States.
Seok
Susie
S
Department of Ophthalmology, Dongguk University College of Medicine, Gyeongju, Korea.
Jang
Young Jun
YJ
Lee
Seung Woo
SW
Kim
Ho Chang
HC
Ha
Gyoung Yim
GY
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D009877:Endophthalmitis / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D004756:Enterobacteriaceae Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000150:complications*; D008297:Male; D020636:Pantoea / Q000302:isolation & purification*; D014792:Visual Acuity; D014821:Vitrectomy
D000900:Anti-Bacterial Agents