title: Delayed Eikenella corrodens orbital infection after fracture repair.
abstract: Orbital cellulitis and abscess after fracture repair are rare. Ophthalmic infection with Eikenella species is even more unusual, but can be severe. We report a case of Eikenella corrodens infection in a 28-year-old man who underwent zygomaticomaxillary and orbital floor blowout fracture surgery 4 years before presentation. Eikenella species are often resistant to frequently used empiric antibiotics, and because of specific growth conditions, easily missed on standard cultures. Appropriate efforts should be made to identify and treat E. corrodens in atypical orbital and periocular infections.
authors.affiliation: School of Medicine, West Virginia University, Morgantown, West Virginia, USA.
authors.forename: Devin G
authors.initials: DG
authors.lastname: Lindstrom
authors.forename: Matheson A
authors.initials: MA
authors.lastname: Harris
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Sivak-Callcott
authors.forename: John
authors.initials: J
authors.lastname: Nguyen
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D016124:Eikenella corrodens / Q000302:isolation & purification*; D015818:Eye Infections, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D016905:Gram-Negative Bacterial Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000601:surgery; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D009917:Orbital Fractures / Q000601:surgery*; D020273:Orbital Implants; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D015051:Zygomatic Fractures / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents