First Report of Acute Postoperative Endophthalmitis Caused by Rothia Mucilaginosa after Phacoemulsification.
We aimed at reporting the first case of rapidly progressive acute postoperative endophthalmitis after phacoemulsification cataract surgery in an immunocompetent patient caused by Rothia mucilaginosa. An immunocompetent patient manifested endophthalmitis signs 48 hours after an uncomplicated cataract surgery by phacoemulsification. A bacteria of the family Micrococcaceae was cultured in the vitreous biopsy, namely R. mucilaginosa. The patient did not show a favorable clinical response after vitrectomy and systemic, intravitreal, and topical fortified antibiotics. The patient's eye was very painful, and consequently, it deemed necessary to perform an evisceration. R. mucilaginosa may be an aggressive etiologic agent for postoperative endophthalmitis. Although the isolated R. mucilaginosa was susceptible to empirical treatment, it was impossible to control the infection with standard treatment, probably due to its ability to create a biofilm around the intraocular lens.
Ophthalmology Unit, University Hospital Puerta del Mar , Cádiz.
Pablo
P
Álvarez-Ramos
Ophthalmology Unit, University Hospital Puerta del Mar , Cádiz.
Amparo
A
Del Moral-Ariza
Ophthalmology Unit, University Hospital Puerta del Mar , Cádiz.
José M
JM
Alonso-Maroto
Microbiology Unit, University Hospital Puerta del Mar , Cádiz.
Pilar
P
Marín-Casanova
Ophthalmology Unit, University Hospital Puerta del Mar , Cádiz.
José M
JM
Calandria-Amigueti
Microbiology Unit, University Hospital Puerta del Mar , Cádiz.
Manuel
M
Rodríguez-Iglesias
Ophthalmology Unit, University Hospital Puerta del Mar, Cádiz; Ophthalmology Unit, University Hospitals Virgen Macarena y Virgen del Rocío, Sevilla, Spain.
Enrique
E
Rodríguez de la Rúa
Rothia mucilaginosa; biofilm; cataract; endophthalmitis; intraocular lens; phacoemulsification