title: [Low grade endophthalmitis caused by P. acnes : Case report].
abstract: Low grade endophthalmitis is usually a chronic indolent inflammation that may be misdiagnosed as noninfectious uveitis. Therefore, this form of endophthalmitis is often unsuccessfully treated with corticosteroids. We describe the case of a patient with low grade endophthalmitis caused by Propionibacterium acnes after cataract surgery. This case report presents the difficulties in establishing the diagnosis of this form of endophthalmitis as well as the benefits of a combined operative therapy with pars plana vitrectomy, intravitreal antibiotics and posterior capsulectomy for successful treatment in such cases.
authors.affiliation: St.-Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Deutschland. sofiafili86@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Fili
authors.affiliation: St.-Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Schilde
authors.affiliation: St.-Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Kontopoulou
authors.affiliation: St.-Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Hayvazov
authors.affiliation: St.-Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Kohlhaas
mesh_terms: D000369:Aged, 80 and over; D000583:Amikacin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D007910:Lenses, Intraocular; D011183:Postoperative Complications / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D011425:Propionibacterium acnes; D014640:Vancomycin / Q000627:therapeutic use; D014821:Vitrectomy
chemical_list: D014640:Vancomycin; D000583:Amikacin
keywords: Autoimmune uveitis; Cataract; Low grade endophthalmitis; Posterior capsulectomy; Propionibacterium acnes