Multi-drug resistant Mycobacterium chelonae scleral buckle infection
Purpose: To describe a case of Multi-drug resistant Mycobacterium chelonae scleral buckle infection. Observations: A 56 year-old male with history of retinal detachment repair with scleral buckle 20 years prior presented with 8 months of intermittent pain and redness in the left eye. The patient was...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993617302463 |
| _version_ | 1819141635445882880 |
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| author | Daniel S. Churgin Kimberly D. Tran Ninel Z. Gregori Ryan C. Young Chrisfouad Alabiad Harry W. Flynn, Jr. |
| author_facet | Daniel S. Churgin Kimberly D. Tran Ninel Z. Gregori Ryan C. Young Chrisfouad Alabiad Harry W. Flynn, Jr. |
| author_sort | Daniel S. Churgin |
| collection | DOAJ |
| description | Purpose: To describe a case of Multi-drug resistant Mycobacterium chelonae scleral buckle infection. Observations: A 56 year-old male with history of retinal detachment repair with scleral buckle 20 years prior presented with 8 months of intermittent pain and redness in the left eye. The patient was diagnosed with scleral buckle infection, the buckle was removed, and cultures revealed multi-drug resistant Mycobacterium chelonae. The postoperative course included orbital cellulitis treated with systemic linezolid, clarithromycin, and imipenem. All systemic antibiotics were discontinued on post-operative day 25, visual acuity improved to 20/25, the retina remained attached, and no recurrence occurred over 3 years of follow-up. Conclusions and importance: NTM infections are typically chronic and often require lengthy treatment. SB infection is rare, but often associated with biofilm and antibiotic resistance. In spite of removing the SB, anchoring sutures, sheath surrounding the buckle and associated biofilm, a prolonged course of systemic antibiotics may be necessary in some patients. Keywords: Non-tuberculous mycobacterium, Scleral buckle, Orbital cellulitis |
| first_indexed | 2024-12-22T11:57:35Z |
| format | Article |
| id | doaj.art-3814e7aa903b449da9d6ef1478bbecde |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-22T11:57:35Z |
| publishDate | 2018-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-3814e7aa903b449da9d6ef1478bbecde2022-12-21T18:26:41ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-06-0110276278Multi-drug resistant Mycobacterium chelonae scleral buckle infectionDaniel S. Churgin0Kimberly D. Tran1Ninel Z. Gregori2Ryan C. Young3Chrisfouad Alabiad4Harry W. Flynn, Jr.5Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USADepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USADepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USADepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USADepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USACorresponding author. 900 NW 17th St., Miami, FL 33136, USA; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USAPurpose: To describe a case of Multi-drug resistant Mycobacterium chelonae scleral buckle infection. Observations: A 56 year-old male with history of retinal detachment repair with scleral buckle 20 years prior presented with 8 months of intermittent pain and redness in the left eye. The patient was diagnosed with scleral buckle infection, the buckle was removed, and cultures revealed multi-drug resistant Mycobacterium chelonae. The postoperative course included orbital cellulitis treated with systemic linezolid, clarithromycin, and imipenem. All systemic antibiotics were discontinued on post-operative day 25, visual acuity improved to 20/25, the retina remained attached, and no recurrence occurred over 3 years of follow-up. Conclusions and importance: NTM infections are typically chronic and often require lengthy treatment. SB infection is rare, but often associated with biofilm and antibiotic resistance. In spite of removing the SB, anchoring sutures, sheath surrounding the buckle and associated biofilm, a prolonged course of systemic antibiotics may be necessary in some patients. Keywords: Non-tuberculous mycobacterium, Scleral buckle, Orbital cellulitishttp://www.sciencedirect.com/science/article/pii/S2451993617302463 |
| spellingShingle | Daniel S. Churgin Kimberly D. Tran Ninel Z. Gregori Ryan C. Young Chrisfouad Alabiad Harry W. Flynn, Jr. Multi-drug resistant Mycobacterium chelonae scleral buckle infection American Journal of Ophthalmology Case Reports |
| title | Multi-drug resistant Mycobacterium chelonae scleral buckle infection |
| title_full | Multi-drug resistant Mycobacterium chelonae scleral buckle infection |
| title_fullStr | Multi-drug resistant Mycobacterium chelonae scleral buckle infection |
| title_full_unstemmed | Multi-drug resistant Mycobacterium chelonae scleral buckle infection |
| title_short | Multi-drug resistant Mycobacterium chelonae scleral buckle infection |
| title_sort | multi drug resistant mycobacterium chelonae scleral buckle infection |
| url | http://www.sciencedirect.com/science/article/pii/S2451993617302463 |
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