Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Ophthalmology
Published in: BMC Ophthalmology 1/2018

Open Access 01-12-2018 | Case report

Earliella scabrosa-associated postoperative Endophthalmitis after Phacoemulsification with intraocular lens implantation: a case report

Authors: Hong He, Xiaolian Chen, Hongshan Liu, Jiaochan Wu, Xingwu Zhong

Published in: BMC Ophthalmology | Issue 1/2018

Login to get access

Abstract

Background

Postoperative endophthalmitis after cataract surgery is a severe eye infection that can lead to irreversible blindness in the affected eye. The characteristics, treatment and prognosis of this disease vary because of its association with different pathogens. Here, we report what is possibly the first case of endophthalmitis after cataract surgery to be associated with the rare pathogen Earliella scabrosa.

Case presentation

A 56-year-old man from Hainan Island (China) with a history of phacoemulsification and type II diabetes mellitus underwent intraocular lens (IOL) implantation. He later presented with progressive endophthalmitis in his right eye. IOL explantation with capsular bag removal and a 23G pars plana vitrectomy combined with a silicone oil tamponade was performed. The infection was cleared without recurrence, and the patient’s visual acuity improved from light perception to 20/200 in the right eye. An in vitro culture determined that the causative pathogen was Earliella scabrosa, and this result was confirmed by an internal transcribed spacer (ITS) sequence analysis.

Conclusion

Earliella scabrosa has never been reported as an infectious agent in human eyes, and its clinical significance remains unknown. Here, we report a rare case of Earliella scabrosa-associated endophthalmitis after cataract surgery. The fungal infection presented as an acute attack and was successfully treated with vitrectomy.
Literature
1.
Anand AR, Therese KL, Madhavan HN. Spectrum of etiological agents of postoperative endophthalmitis and antibiotic susceptibility of bacterial isolates. Indian J Ophthalmol. 2000;48:123–8.PubMed
2.
Gupta A, Gupta V, Gupta A, Dogra MR, Pandav SS. Spectrum and clinical profile of post cataract surgery endophthalmitis in north India. Indian J Ophthalmol. 2003;51:139–45.PubMed
3.
Badenoch P, Wetherall B, Woolley M. Coster D. Newer emerging pathogens of ocular non-sporulating molds (NSM) identified by polymerase chain reaction (PCR)-based DNA sequencing technique targeting internal transcribed spacer (ITS) region. Curr Eye Res 2008; 33:139–147.
4.
Kocak I, Kocak F, Teker B, Aydin A, Kaya F. Evaluation of bacterial contamination rate of the anterior chamber during phacoemulsification surgery using an automated microbial detection system. Int J Ophthalmol. 2014;7:686–8.PubMedPubMedCentral
5.
Panda A, Pangtey MS, Deb M, Garg V, Badhu BP. Bacterial contamination of the anterior chamber during phacoemulsification. J Cataract Refract Surg. 2003;29:1465–6. author reply 1446CrossRefPubMed
6.
Sharma S, Sahu SK, Dhillon V, Das S, Rath S. Reevaluating intracameral cefuroxime as a prophylaxis against endophthalmitis after cataract surgery in India. J Cataract Refract Surg. 2015;41:393–9.CrossRefPubMed
7.
Gilbertson RL, Ryvarden L. Some new combinations in Polyporaceae. Mycotaxon. 1985;22:2.
8.
Gilbert GS, Gorospe J, Ryvarden L. Host and habitat preferences of polypore fungi in Micronesian tropical flooded forests. Mycol Res. 2008;112:674–80.CrossRefPubMed
9.
Lim DS, Tan PL, Jureen R, Tan KB. Cutaneous emboli of invasive Basidiomycosis in a child with Aplastic anemia. Am J Dermatopathol. 2017;39:204–7.CrossRefPubMed
10.
Jabbarvand M, Hashemian H, Khodaparast M, Jouhari M, Tabatabaei A. Endophthalmitis occurring after cataract surgery: outcomes of more than 480,000 cataract surgeries, epidemiologic features, and risk factors. Ophthalmology. 2016;123:295–301.CrossRefPubMed
11.
Bejdak P, Lengerova M, Palousova D, Volfova P, Kocmanova I. Detection and identification of filamentous fungi causing mycoses using molecular genetic methods. Klin Mikrobiol Infekc Lek. 2012;18:109–14.PubMed
12.
Irving Fatt, Barry A. Weissman. The Vitreous Body. In: Fatt I, Barry A. Weissman. Physiology of the Eye An Introduction to the Vegetative Functions. Second Edition. Stoneham: Butterworth-Heinemann; 1992. p. 77–84.
Metadata
Title
Earliella scabrosa-associated postoperative Endophthalmitis after Phacoemulsification with intraocular lens implantation: a case report
Authors
Hong He
Xiaolian Chen
Hongshan Liu
Jiaochan Wu
Xingwu Zhong
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2018
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-018-0702-9

Other articles of this Issue 1/2018

BMC Ophthalmology 1/2018 Go to the issue

Research article

Corneal densitometry in high myopia

Research article

Expression of cytokines in aqueous humor from fungal keratitis patients

Research article

Combined pentagonal resection and inferior retractor plication in involutional entropion

Research article

Ocular surface health in Shanghai University students: a cross-sectional study

Research article

Prevalence of depression and anxiety among participants with glaucoma in a population-based cohort study: The Gutenberg Health Study

Case report

Exophthalmos in a young woman with no Graves’ disease – a case report of IgG4-related orbitopathy