Postoperative Alcaligenes xylosoxidans endophthalmitis: report of two cases

Arquivos Brasileiros de Oftalmologia

Alejandra De-la-torre¹  Christian Adrián López-castillo²  Javier Andrés Bernal-urrego²  Juan Pablo Sinisterra-pava²  Jorge Enrique Gómez-marín² 

[1] ,Universidad del Quindío Grupo de Estudio en Parasitología Molecular Armenia Colombia

关键词: Alcaligenes;    Cataract extraction;    Endophthalmitis;    Eye infections;    bacterial;    Lens implantation;    in-traocular;    Reoperation;    Vitrectomy;    Vitreous body;    Adult;    Aged;    Female;    Male;    Case reports;    Alcalígenes;    Extração de catarata;    Endoftalmite;    Infecções oculares bacterianas;    Implante de lente intra-ocular;    Reoperação;    Vitrectomia;    Corpo vítreo;    Adulto;    Idoso;    Feminino;    Masculino;    Relatos de casos;   

DOI  :  10.1590/S0004-27492008000100025

来源: SciELO

【 摘 要 】

We report two cases of postoperative Alcaligenes xylosoxidans endophthalmitis. A 78-year-old woman in good general health developed A. xylosoxidans endophthalmitis one month after an uncomplicated phacoemulsification procedure with posterior chamber intraocular lens. It was performed on her left eye, at another institution. Removal of the intraocular lens and capsule was performed because of recurrent inflammation after vitrectomy and intravitreal antibiotic injections. Her son, a 55-year-old man, developed A. xylosoxidans endophthalmitis in his left eye, two months after an uncomplicated phacoemulsification procedure with posterior chamber intraocular lens (it also was performed by the same surgeon). He also required vitrectomy with removal of the intraocular lens and capsule because of persistent disease. A. xyloso - xidans can cause chronic low-grade and progressive endophthalmitis after cataract extraction that is often resistant to corrective antibiotic therapy. This kind of case is rare. There have been only previously reported seven cases worldwide to the best of our knowledge.

【 授权许可】

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