Postoperative endophthalmitis caused by Sphingomonas paucimobilis

J Cataract Refract Surg. 2006 Jul;32(7):1238-40. doi: 10.1016/j.jcrs.2006.01.094.

Abstract

We present a case in which a new organism, Sphingomonas paucimobilis, caused endophthalmitis after phacoemulsification in a 73-year-old woman. The case shows a recurrent acute endophthalmitis with complete resolution only after vitrectomy. This organism has not been described as a cause of endophthalmitis and was resistant to initial medical management. We also describe an interaction between this organism and a co-infective organism that may account for the unusual clinical course.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Combined Modality Therapy
  • Drug Therapy, Combination
  • Endophthalmitis / diagnosis
  • Endophthalmitis / microbiology*
  • Endophthalmitis / therapy
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / etiology*
  • Eye Infections, Bacterial / therapy
  • Female
  • Gram-Negative Bacterial Infections / diagnosis
  • Gram-Negative Bacterial Infections / etiology*
  • Gram-Negative Bacterial Infections / therapy
  • Humans
  • Phacoemulsification / adverse effects*
  • Postoperative Complications*
  • Recurrence
  • Sphingomonas / isolation & purification*
  • Vitrectomy
  • Vitreous Body / microbiology

Substances

  • Anti-Bacterial Agents