Ochrobactrum anthropi endophthalmitis after uncomplicated cataract surgery

Am J Ophthalmol. 1996 Aug;122(2):272-3. doi: 10.1016/s0002-9394(14)72025-2.

Abstract

Purpose: To treat a case of Ochrobactrum anthropi endophthalmitis after uneventful cataract surgery.

Methods: A 66-year-old patient in good general health underwent uncomplicated cataract surgery in his right eye. Seven weeks later, pars plana vitrectomy with removal of the intraocular lens became necessary because of progressive low-grade endophthalmitis resistant to topical and systemic erythromycin, cephalosporins, aminoglycosides, and colistin.

Results: Microbiologic examination of the vitreous biopsy, capsule, and anterior chamber fluid disclosed O. anthropi, a nonfermentative gram-negative bacillus sensitive to imipenem, amikacin, ciprofloxacin, and vancomycin.

Conclusion: Ochrobactrum anthropi and its natural resistance against many antibiotics should be considered in the treatment of low-grade endophthalmitis after uneventful cataract surgery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alcaligenes / drug effects
  • Alcaligenes / isolation & purification*
  • Anterior Chamber / microbiology
  • Anti-Infective Agents / therapeutic use
  • Cataract Extraction*
  • Ciprofloxacin / therapeutic use
  • Endophthalmitis / microbiology*
  • Endophthalmitis / therapy
  • Eye Infections, Bacterial / etiology*
  • Eye Infections, Bacterial / therapy
  • Gram-Negative Bacterial Infections / etiology*
  • Gram-Negative Bacterial Infections / therapy
  • Humans
  • Lens Capsule, Crystalline / microbiology
  • Lenses, Intraocular
  • Male
  • Postoperative Complications / microbiology*
  • Postoperative Complications / therapy
  • Reoperation
  • Silicone Elastomers
  • Vitrectomy
  • Vitreous Body / microbiology

Substances

  • Anti-Infective Agents
  • Silicone Elastomers
  • Ciprofloxacin