Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome
We report a positive outcome of postcataract endophthalmitis caused by Enterobacter cloacae, which has previously resulted in poor outcomes in endophthalmitis. A 67-year-old man underwent uncomplicated cataract surgery. On the morning of postoperative day (POD) #1, he had significant anterior chambe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2013-03-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/350270 |
| _version_ | 1818264884709687296 |
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| author | Scott Butikofer Jason M. Dettori G. Atma Vemulakonda Mark Slabaugh |
| author_facet | Scott Butikofer Jason M. Dettori G. Atma Vemulakonda Mark Slabaugh |
| author_sort | Scott Butikofer |
| collection | DOAJ |
| description | We report a positive outcome of postcataract endophthalmitis caused by Enterobacter cloacae, which has previously resulted in poor outcomes in endophthalmitis. A 67-year-old man underwent uncomplicated cataract surgery. On the morning of postoperative day (POD) #1, he had significant anterior chamber inflammation without pain, hypopyon, or vitritis but then rapidly developed hypopyon and worsening visual acuity. He underwent a tap and inject with vancomycin and ceftazidime and was prescribed topical steroids and antibiotics as well as oral levofloxacin. On POD #3, cultures of the vitreous and aqueous returned positive for E. cloacae. By POD #6, his hypopyon had resolved with improved vitritis, decreased inflammation, and visual acuity of 20/200. Two weeks after surgery, his best-corrected visual acuity was 20/60. Contrary to prior reports, we demonstrate that it is possible to achieve a good outcome in cases of E. cloacae endophthalmitis treated early with appropriate antibiotics and anti-inflammatory agents. |
| first_indexed | 2024-12-12T19:42:00Z |
| format | Article |
| id | doaj.art-75a1e6ec3e8e40d0bd689ae2a72604b4 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-12T19:42:00Z |
| publishDate | 2013-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-75a1e6ec3e8e40d0bd689ae2a72604b42022-12-22T00:14:11ZengKarger PublishersCase Reports in Ophthalmology1663-26992013-03-0141424510.1159/000350270350270Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive OutcomeScott ButikoferJason M. DettoriG. Atma VemulakondaMark SlabaughWe report a positive outcome of postcataract endophthalmitis caused by Enterobacter cloacae, which has previously resulted in poor outcomes in endophthalmitis. A 67-year-old man underwent uncomplicated cataract surgery. On the morning of postoperative day (POD) #1, he had significant anterior chamber inflammation without pain, hypopyon, or vitritis but then rapidly developed hypopyon and worsening visual acuity. He underwent a tap and inject with vancomycin and ceftazidime and was prescribed topical steroids and antibiotics as well as oral levofloxacin. On POD #3, cultures of the vitreous and aqueous returned positive for E. cloacae. By POD #6, his hypopyon had resolved with improved vitritis, decreased inflammation, and visual acuity of 20/200. Two weeks after surgery, his best-corrected visual acuity was 20/60. Contrary to prior reports, we demonstrate that it is possible to achieve a good outcome in cases of E. cloacae endophthalmitis treated early with appropriate antibiotics and anti-inflammatory agents.http://www.karger.com/Article/FullText/350270EndophthalmitisGram-negativeEnterobacter cloacaeCataract surgery |
| spellingShingle | Scott Butikofer Jason M. Dettori G. Atma Vemulakonda Mark Slabaugh Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome Case Reports in Ophthalmology Endophthalmitis Gram-negative Enterobacter cloacae Cataract surgery |
| title | Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome |
| title_full | Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome |
| title_fullStr | Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome |
| title_full_unstemmed | Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome |
| title_short | Enterobacter cloacae Postsurgical Endophthalmitis: Report of a Positive Outcome |
| title_sort | enterobacter cloacae postsurgical endophthalmitis report of a positive outcome |
| topic | Endophthalmitis Gram-negative Enterobacter cloacae Cataract surgery |
| url | http://www.karger.com/Article/FullText/350270 |
| work_keys_str_mv | AT scottbutikofer enterobactercloacaepostsurgicalendophthalmitisreportofapositiveoutcome AT jasonmdettori enterobactercloacaepostsurgicalendophthalmitisreportofapositiveoutcome AT gatmavemulakonda enterobactercloacaepostsurgicalendophthalmitisreportofapositiveoutcome AT markslabaugh enterobactercloacaepostsurgicalendophthalmitisreportofapositiveoutcome |