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Journal of Ophthalmic Inflammation and Infection

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Open Access 01-12-2016 | Brief report

Chronic postoperative endophthalmitis after cataract surgery secondary to vancomycin-resistant Ochrobactrum anthropi: case report and literature review

Authors: Raageen Kanjee, Anjum F. Koreishi, Angelo P. Tanna, Debra A. Goldstein

Published in: Journal of Ophthalmic Inflammation and Infection | Issue 1/2016

Abstract

Background

The aim of this study was to report an unusual case of chronic postoperative endophthalmitis following cataract surgery, secondary to Ochrobactrum anthropi that was found to be resistant to vancomycin.

Findings

Anterior chamber paracentesis cultures grew gram negative bacilli Ochrobactrum anthropi. The patient was treated with a series of intracameral injections of moxifloxacin, with adjuvant oral moxifloxacin. Posterior sub-Tenon and oral corticosteroids were used to treat cystoid macular edema. Explantation of the intraocular lens (IOL)-capsular bag complex was avoided.

Conclusions

Chronic postoperative endophthalmitis is a rare entity, often due to indolent pathogens that sequester in the capsular bag. Aggressive surgical intervention may be avoided with the use of adequate intraocular antibiotic, provided that the offending organism demonstrates appropriate antibiotic susceptibilities.

Alnor D, Frimodt-Møller N, Espersen F, Frederiksen W (1994) Infections with the unusual human pathogens Agrobacterium species and Ochrobactrum anthropi. Clin Infect Dis 18:914–920CrossRefPubMed

Applebaum PC, Campbell DB (1980) Pancreatic abscess associated with Achromobacter group Vd biovar-1. J Clin Microbiol 12:282–283

Berman AJ, Del Priore LV, Fischer CK (1997) Endogenous Ochrobactrum anthropi endophthalmitis. Am J Ophthalmol 123:560–562. doi:10.1016/S0002-9394(14)70190-4 CrossRefPubMed

Braun M, Jonas JB, Schönherr U, Naumann GO (1996) Ochrobactrum anthropi endophthalmitis after uncomplicated cataract surgery. Am J Ophthalmol 122:272–273. doi:10.1016/S0002-9394(14)72025-2 CrossRefPubMed

Chan CC, Holland EJ (2012) Infectious keratitis after Boston type 1 keratoprosthesis implantation. Cornea 31:1128–1134. doi:10.1097/ICO.0b013e318245c02a CrossRefPubMed

Chiang C, Tsai Y, Lin J, Chen W (2009) Chronic endophthalmitis after cataract surgery secondary to Ochrobactrum anthropi. Eye (Lond) 23:1237–1238. doi:10.1038/eye.2008.137 CrossRef

Cieslak TJ, Robb ML, Drabick CJ, Fischer GW (1992) Catheter-associated sepsis caused by Ochrobactrum anthropi: report of a case and review of related nonfermentative bacteria. Clin Infect Dis 14:902–907CrossRefPubMed

Greven CM, Nelson KC (2001) Chronic postoperative endophthalmitis secondary to Ochrobactrum anthropi. Retina 21:279–280. doi:10.1097/00006982-200106000-00021 CrossRefPubMed

Holmes B, Popoff M, Kiredjian M, Kersters K (1988) Ochrobactrum anthropi gen. nov., sp. nov. from human clinical specimens and previously known as group vd. Int J Syst Bacteriol 38:406–416. doi:10.1099/00207713-38-4-406 CrossRef

10.

Inoue K, Numaga J, Nagata Y et al (1999) Ochrobactrum anthropi endophthalmitis after vitreous surgery. Br J Ophthalmol 83:502. doi:10.1136/bjo.83.4.501b PubMed

11.

Kent HD, Cohen EJ, Laibson PR, Arentsen JJ (1990) Microbial keratitis and corneal ulceration associated with therapeutic soft contact lenses. CLAO J 16:49–52PubMed

12.

Kim KS, Han JW, Lee WK (2003) A case of Ochrobactrum anthropi endophthalmitis after cataract surgery. J Korean Ophthalmol Soc 44:1943–1947

13.

Kresloff MS, Castellarin AA, Zarbin MA (1998) Endophthalmitis. Surv Ophthalmol 43:193–224CrossRefPubMed

14.

Mattos FB, Saraiva FP, Angotti-Neto H, Passos AF (2013) Outbreak of Ochrobactrum anthropi endophthalmitis following cataract surgery. J Hosp Infect 83:337–340. doi:10.1016/j.jhin.2012.11.027 CrossRefPubMed

15.

Meisler DM, Zakov ZN, Bruner WE et al (1987) Endophthalmitis associated with sequestered intraocular Propionibacterium acnes. Am J Ophthalmol 104:428–429CrossRefPubMed

16.

Song S, Ahn JK, Lee GH, Park YG (2007) An epidemic of chronic pseudophakic endophthalmitis due to Ochrobactrum anthropi: clinical findings and managements of nine consecutive cases. Ocul Immunol Inflamm 15:429–434. doi:10.1080/09273940701798546 CrossRefPubMedPubMedCentral

Title: Chronic postoperative endophthalmitis after cataract surgery secondary to vancomycin-resistant Ochrobactrum anthropi: case report and literature review
Authors: Raageen Kanjee
Anjum F. Koreishi
Angelo P. Tanna
Debra A. Goldstein
Publication date: 01-12-2016
Publisher: Springer Berlin Heidelberg
Published in: Journal of Ophthalmic Inflammation and Infection / Issue 1/2016
Electronic ISSN: 1869-5760
DOI: https://doi.org/10.1186/s12348-016-0094-z

At a glance: The STEP trials

Springer Medicine

Chronic postoperative endophthalmitis after cataract surgery secondary to vancomycin-resistant Ochrobactrum anthropi: case report and literature review

Abstract

Background

Findings

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Findings

Conclusions

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