1887

Abstract

Keratitis with endophthalmitis of the right eye occurred in a 78-year-female following a complicated cataract surgery. Prompt intravitreal vancomycin and ceftazidime with topical fortified tobramycin and cefazolin treatments were started. The corneal, aqueous and vitreous cultures grew a complex (Bcc) strain on the fourth day. Restriction fragment length polymorphism analysis of the amplicon revealed genomovar I. The organism was found to be susceptible to ceftazidime, ciprofloxacin and ofloxacin. Topical ciprofloxacin was given immediately. At day 10, the pain relieved and the clinical condition of the patient improved with resolution of the purulent discharge, severe circumcorneal congestion and chemosis. The size of the corneal abscess and anterior chamber exudation decreased. The Bcc should be included among the bacterial species that may cause keratitis following intraocular surgeries.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.011197-0
2009-11-01
2019-10-22
Loading full text...

Full text loading...

/deliver/fulltext/jmm/58/11/1517.html?itemId=/content/journal/jmm/10.1099/jmm.0.011197-0&mimeType=html&fmt=ahah

References

  1. Aaron, S. D., Ferris, W., Henry, D. A., Speert, D. P. & Macdonald, N. E. ( 2000; ). Multiple combination bactericidal antibiotic testing for patients with cystic fibrosis infected with Burkholderia cepacia. Am J Respir Crit Care Med 161, 1206–1212.[CrossRef]
    [Google Scholar]
  2. Baron, E. J., Peterson, L. R. & Finegold, S. M. ( 1994; ). Bailey and Scott's Diagnostic Microbiology, 9th edn, pp. 79–136. St Louis: Mosby.
  3. Collee, J. G., Miles, R. S. & Watt, B. ( 1996; ). Tests for identification of bacteria. In Practical Medical Microbiology, 14th edn, pp. 131–150. Edited by J. G. Collee and others. Edinburgh: Churchill Livingstone.
  4. Del Piero, E., Pennett, M. & Leopold, I. ( 1985; ). Pseudomonas cepacia endophthalmitis. Ann Ophthalmol 17, 753–756.
    [Google Scholar]
  5. Eser, I., Altan, T., Stahl, J. E., Aydin, M. D., Inan, N., Kapran, Z. & Yilmaz, O. F. ( 2006; ). Two cases of Burkholderia cepacia endophthalmitis. Br J Ophthalmol 90, 1211
    [Google Scholar]
  6. Middleton, P. G., Kidd, T. J. & Williams, B. ( 2005; ). Combination aerosol therapy to treat Burkholderia cepacia complex. Eur Respir J 26, 305–308.[CrossRef]
    [Google Scholar]
  7. Pathengay, A., Raju, B., Sharma, S. & Das, T. ( 2005; ). Endophthalmitis Research Group. Recurrent endophthalmitis caused by Burkholderia cepacia. Eye 19, 358–359.[CrossRef]
    [Google Scholar]
  8. Wigfield, S. M., Rigg, G. P., Kavari, M., Webb, A. K., Matthews, R. C. & Burnie, J. P. ( 2002; ). Identification of an immunodominant drug efflux pump in Burkholderia cepacia. J Antimicrob Chemother 49, 619–624.[CrossRef]
    [Google Scholar]
  9. Ying-Cheng, L., Chao-Kung, L., Ko-Hua, C. & Wen-Ming, H. ( 2006; ). Daytime orthokeratology associated with infectious keratitis by multiple gram-negative bacilli: Burkholderia cepacia, Pseudomonas putida, and Pseudomonas aeruginosa. Eye Contact Lens 32, 19–20.[CrossRef]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.011197-0
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error