2009Retinal Cases & Brief ReportsOpen access

ENTEROBACTER AMNIGENUS ENDOPHTHALMITIS

Corey Westerfeld, George N. Papaliodis, Irmgard Behlau, Marlene L. Durand, Lucia Sobrin

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Abstract

In Brief Purpose: To describe a case of Enterobacter amnigenus endophthalmitis. Methods: A 33-year-old, previously healthy man presented with unilateral hypopyon uveitis. Visual acuity in the affected eye was counting fingers. Initial laboratory workup was negative. Vitreous cultures revealed the offending agent. Results: The patient was treated with intravenous and intravitreal antibiotics and responded well. Final visual acuity was 20/30. Conclusion: Enterobacter species have been rarely reported as causes of endophthalmitis. E. amnigenus is almost never pathogenic in humans and previous cases have been described in immunocompromised individuals. Our case demonstrates that appropriate treatment of E. amnigenus endophthalmitis in an immunocompetent individual can result in a good visual outcome. To the authors’ best knowledge, this is the first report of Enterobacter amnigenusr endophthalmitis. The patient presented with a unilateral hypopyon uveitis. Initial laboratory work-up was negative. Vitreous cultures revealed the offending agent. The patient was treated with intravenous and intravitreal antibiotics and responded well.

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In Brief Purpose: To describe a case of Enterobacter amnigenus endophthalmitis. Methods: A 33-year-old, previously healthy man presented with unilateral hypopyon uveitis. Visual acuity in the affected eye was counting fingers. Initial laboratory workup was negative. Vitreous cultures revealed the offending agent. Results: The patient was treated with intravenous and intravitreal antibiotics and responded well. Final visual acuity was 20/30. Conclusion: Enterobacter species have been rarely reported as causes of endophthalmitis. E. amnigenus is almost never pathogenic in humans and previous cases have been described in immunocompromised individuals. Our case demonstrates that appropriate treatment of E. amnigenus endophthalmitis in an immunocompetent individual can result in a good visual outcome. To the authors’ best knowledge, this is the first report of Enterobacter amnigenusr endophthalmitis. The patient presented with a unilateral hypopyon uveitis. Initial laboratory work-up was negative. Vitreous cultures revealed the offending agent. The patient was treated with intravenous and intravitreal antibiotics and responded well.

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Available abstract

In Brief Purpose: To describe a case of Enterobacter amnigenus endophthalmitis. Methods: A 33-year-old, previously healthy man presented with unilateral hypopyon uveitis. Visual acuity in the affected eye was counting fingers. Initial laboratory workup was negative. Vitreous cultures revealed the offending agent. Results: The patient was treated with intravenous and intravitreal antibiotics and responded well. Final visual acuity was 20/30. Conclusion: Enterobacter species have been rarely reported as causes of endophthalmitis. E. amnigenus is almost never pathogenic in humans and previous cases have been described in immunocompromised individuals. Our case demonstrates that appropriate treatment of E. amnigenus endophthalmitis in an immunocompetent individual can result in a good visual outcome. To the authors’ best knowledge, this is the first report of Enterobacter amnigenusr endophthalmitis. The patient presented with a unilateral hypopyon uveitis. Initial laboratory work-up was negative. Vitreous cultures revealed the offending agent. The patient was treated with intravenous and intravitreal antibiotics and responded well.

Key concepts: Endophthalmitis, Hypopyon, Medicine, Visual acuity, Uveitis, Enterobacter, Ophthalmology, Antibiotics

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