title: A case of postoperative endophthalmitis by extended-spectrum beta-lactamase-producing Escherichia coli.
abstract: A 75-year-old female was transferred to our clinic three days after uneventful phacoemulsification with intraocular lens (IOL) implantation in the right eye that had been carried out at a local clinic. Under the diagnosis of postoperative endophthalmitis, the patient underwent pars plans vitrectomy, IOL explantation, silicone oil tamponade, and intravitreal antibiotic injection. Even after the procedure, the patient's condition was further aggravated, and extended-spectrum beta-lactamase-producing Escherichia coli were identified on bacterial identification test. Although meropenem was applied locally and systemically, the patient had no-light perception visual acuity.
authors.affiliation: Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Yu Cheol
authors.initials: YC
authors.lastname: Kim
authors.forename: Kwang Soo
authors.initials: KS
authors.lastname: Kim
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology*; D004926:Escherichia coli / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000175:diagnosis / Q000382:microbiology*; D014792:Visual Acuity; D001618:beta-Lactamases
chemical_list: D000900:Anti-Bacterial Agents; D001618:beta-Lactamases