title: Chronic postoperative Mycobacterium gordonae endophthalmitis in a patient with phakic intraocular lens.
abstract: METHODS
  Case description of a 34 year old woman with chronic granulomatous anterior uveitis following implantation of a phakic anterior chamber intraocular lens (IOL). Aqueous humor was processed for bacterial, fungal culture, and PCR analysis.
  
  
  RESULTS
  PCR for 16S ribosomal RNA universal primers was positive and Southern-blot for Propionibacterium spp was negative. Panfungal PCR was negative. Growth of a pigmented yellow colony was detected on Lowenstein-Jensen medium. The isolate was subsequently identified as Mycobacterium gordonae. The patient was treated for atypical mycobacteria as well as an intracameral injection of moxifloxacin, with resolution of inflammation and improvement in visual acuity.
  
  
  CONCLUSIONS
  This is the first reported case of Mycobacterium gordonae chronic postoperative endophthalmitis, and of chronic endophthalmitis following phakic IOL surgery. PCR and cultures were invaluable in making the diagnosis.
authors: Uveitis Clinic, University of Buenos Aires , Buenos Aires , Argentina .
authors: Cristobal
authors: C
authors: Couto
authors: Silvia
authors: S
authors: Rossetti
authors: Ariel
authors: A
authors: Schlaen
authors: Erika
authors: E
authors: Hurtado
authors: Leonardo
authors: L
authors: D'Alessandro
authors: Debra A
authors: DA
authors: Goldstein
mesh_terms: D000328:Adult; D001082:Aqueous Humor / Q000382:microbiology*; D002908:Chronic Disease; D004269:DNA, Bacterial / Q000032:analysis; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D005260:Female; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000382:microbiology*; D009170:Nontuberculous Mycobacteria / Q000235:genetics / Q000302:isolation & purification*; D054120:Phakic Intraocular Lenses; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology*; D014792:Visual Acuity
chemical_list: D004269:DNA, Bacterial