title: Endophthalmitis caused by Alcaligenes faecalis: a case series.
abstract: OBJECTIVE
  To profile the etiology, clinical outcomes and drug sensitivity patterns in endophthalmitis caused by Alcaligenes faecalis.
  
  
  METHODS
  Retrospective analysis of all the cases of A. faecalis endophthalmitis presenting to tertiary referral care ophthalmic hospital in Eastern India from January 2009 to December 2012 was done.
  
  
  RESULTS
  A total of five cases were included in the study. Out of the five cases, one was of endogenous origin and the rest were post cataract surgery. All but one case underwent vitreo-retinal surgical intervention followed by intravitreal antibiotics. Alcaligenes faecalis was isolated in all the cases. Sensitivity to ceftazidime, aminoglycosides and ciprofloxacin was 20%, 60% and 80%, respectively. Two patients attained a final visual acuity of 6/24. One eye became phthisical in due course.
  
  
  CONCLUSIONS
  Alcaligenes faecalis is a very rare cause of endophthalmitis. Aminoglycosides and fluroquinolones can be considered as main line of treatment.
authors.affiliation: Sankara Nethralaya, Department of Vitreo-retina , Kolkata, West Bengal , India , and.
authors.forename: Swakshyar Saumya
authors.initials: SS
authors.lastname: Pal
authors.forename: Pradeep Kumar
authors.initials: PK
authors.lastname: Panigrahi
authors.forename: Rupak
authors.initials: R
authors.lastname: Roy
authors.forename: Krishnendu
authors.initials: K
authors.lastname: Nandi
authors.forename: Sudipta
authors.initials: S
authors.lastname: Das
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D042481:Alcaligenes faecalis / Q000235:genetics / Q000302:isolation & purification*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004269:DNA, Bacterial / Q000032:analysis; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D058449:Intravitreal Injections; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012189:Retrospective Studies; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology* / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial