title: Post-traumatic vancomycin-resistant enterococcal endophthalmitis.
abstract: The emergence of antibiotic-resistant organisms among severe ocular infections is of grave concern. We describe the first reported case of vancomycin-resistant enterococcal endophthalmitis following ocular trauma, uniquely caused by Enterococcus gallinarum. The organism demonstrated intrinsic resistance to ceftazidime and vancomycin but responded favorably to a combination of intravitreal and intravenous ampicillin, plus intravitreal amikacin. When faced with a multidrug-resistant organism, the ophthalmologist must consider alternative antibiotic strategies.
authors.affiliation: Ophthalmology Department, St Michael's Hospital, 801-61 Queen Street East, Toronto, ON, M5C 2T2, Canada. roxanehillier@gmail.com.
authors.forename: Roxane J
authors.initials: RJ
authors.lastname: Hillier
authors.forename: Parnian
authors.initials: P
authors.lastname: Arjmand
authors.forename: Gabriel
authors.initials: G
authors.lastname: Rebick
authors.forename: Mario
authors.initials: M
authors.lastname: Ostrowski
authors.forename: Rajeev H
authors.initials: RH
authors.lastname: Muni