Pasteurella multocida endophthalmitis: case report and review of the literature

Klin Monbl Augenheilkd. 2005 Mar;222(3):231-3. doi: 10.1055/s-2005-857968.

Abstract

Background: Postoperative bacterial endophthalmitis is caused by the patient's endogenous flora in most cases (80 %). Pasteurella multocida (PM) is a Gram-negative coccobacillus found in the upper respiratory tract of dogs and cats and is very rarely implicated in postoperative endophthalmitis.

History and signs: We describe a case of PM endophthalmitis that developed after cataract surgery.

Therapy and outcome: Cultures of both the conjunctiva and the aqueous humor were positive for PM. Topical, intravitreous and intravenous antibiotics were administered. Despite treatment, the outcome was unfavourable and complicated by a corneal perforation.

Conclusions: The prognosis of postoperative PM endophthalmitis remains poor, despite adequate treatment of the infection. A history of recent pet exposure should alert physicians to this possible aetiological factor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aqueous Humor
  • Bacteriological Techniques
  • Ceftazidime / administration & dosage
  • Conjunctiva / microbiology
  • Cornea / pathology
  • Drug Therapy, Combination / administration & dosage
  • Endophthalmitis / diagnosis*
  • Humans
  • Infusions, Intravenous
  • Injections
  • Male
  • Necrosis
  • Ophthalmic Solutions
  • Pasteurella Infections / diagnosis*
  • Pasteurella multocida*
  • Phacoemulsification*
  • Postoperative Complications / diagnosis*
  • Vancomycin / administration & dosage
  • Vitreous Body

Substances

  • Ophthalmic Solutions
  • Vancomycin
  • Ceftazidime