title: Chronic postoperative endophthalmitis after cataract surgery secondary to vancomycin-resistant Ochrobactrum anthropi: case report and literature review.
abstract: BACKGROUND
  The aim of this study was to report an unusual case of chronic postoperative endophthalmitis following cataract surgery, secondary to Ochrobactrum anthropi that was found to be resistant to vancomycin.
  
  
  RESULTS
  Anterior chamber paracentesis cultures grew gram negative bacilli Ochrobactrum anthropi. The patient was treated with a series of intracameral injections of moxifloxacin, with adjuvant oral moxifloxacin. Posterior sub-Tenon and oral corticosteroids were used to treat cystoid macular edema. Explantation of the intraocular lens (IOL)-capsular bag complex was avoided.
  
  
  CONCLUSIONS
  Chronic postoperative endophthalmitis is a rare entity, often due to indolent pathogens that sequester in the capsular bag. Aggressive surgical intervention may be avoided with the use of adequate intraocular antibiotic, provided that the offending organism demonstrates appropriate antibiotic susceptibilities.
authors.affiliation: Department of Ophthalmology, Max Rady College of Medicine, University of Manitoba, M264-99 Cornish Ave., Winnipeg, MB, R3C 1A2, Canada.
authors.forename: Raageen
authors.initials: R
authors.lastname: Kanjee
authors.affiliation: Department of Ophthalmology, Northwestern University Feinberg School of Medicine, 645 North Michigan Avenue, Suite 440, Chicago, IL, 60611, USA.
authors.forename: Anjum F
authors.initials: AF
authors.lastname: Koreishi
authors.affiliation: Department of Ophthalmology, Northwestern University Feinberg School of Medicine, 645 North Michigan Avenue, Suite 440, Chicago, IL, 60611, USA.
authors.forename: Angelo P
authors.initials: AP
authors.lastname: Tanna
authors.affiliation: Department of Ophthalmology, Northwestern University Feinberg School of Medicine, 645 North Michigan Avenue, Suite 440, Chicago, IL, 60611, USA. debrgold@yahoo.com.
authors.forename: Debra A
authors.initials: DA
authors.lastname: Goldstein
keywords: Cataract extraction; Drug resistance; Drug therapy; Endophthalmitis; Gram-negative bacterial infection; Microbial; Ochrobactrum anthropi