A case of Pantoea endophthalmitis.
A previously healthy 50-year-old man was transferred to our hospital for evaluation of acute inflammation in his right eye after ocular trauma while using a grass mower. Slit lamp examination showed 1 mm-length full thickness corneal laceration without leakage, 4+ cells and inflammatory membrane in the anterior chamber, 10% hypopyon, posterior synechiae formation, and cataract change. Upon orbital computerized tomography, a metallic intraocular foreign body in the lens was identified. Vitrectomy, phacoemulsification, foreign body removal, anterior chamber irrigation, and intravitreal antibiotics injections of vancomycin and ceftazidime were performed. In a culture of humor from the anterior chamber grew Pantoea species. More procedures were performed, including intravitreal antibiotics injection of ceftazidime. Upon administering a course of intravenous ceftazidime, fortified ceftazidime and moxifloxacin eye drops, and oral prednisolone, the patient improved.
Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.
Na Eun
NE
Lee
In Young
IY
Chung
Jong Moon
JM
Park
D000890:Anti-Infective Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D020636:Pantoea / Q000302:isolation & purification*; D056910:Republic of Korea
D000890:Anti-Infective Agents