Aeromonas Salmonicida as a Causative Agent for Postoperative Endophthalmitis

Middle East Afr J Ophthalmol. 2017 Oct-Dec;24(4):213-215. doi: 10.4103/meajo.MEAJO_238_17.

Abstract

We report a case of a 55-year-old female who presented with pain, redness, and profound visual loss in her right eye 2 weeks after cataract surgery. An ophthalmic examination showed light perception vision, corneal edema with severe anterior chamber reaction and hypopyon, exudative membranes on the anterior lens surface, and dense vitreous exudates. Under the impression of acute postoperative exogenous endophthalmitis, immediate pars plana vitrectomy with culture of vitreous aspirate and intravitreal antibiotic injections were performed. Bacterial growth was observed on culture plates and broths which were identified as Aeromonas salmonicida by VITEK 2 compact system. So far, no report has been published regarding endophthalmitis due to A. salmonicida. Here, we present the first report of A. salmonicida isolated from the ocular specimen.

Keywords: Aeromonas salmonicida; Gram-negative bacilli; VITEK 2 compact system; pars plana vitrectomy; postoperative endophthalmitis.

Publication types

  • Case Reports

MeSH terms

  • Aeromonas salmonicida / isolation & purification*
  • Amikacin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Cataract Extraction
  • Dexamethasone / therapeutic use
  • Drug Therapy, Combination
  • Endophthalmitis / diagnosis
  • Endophthalmitis / drug therapy
  • Endophthalmitis / microbiology*
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / microbiology*
  • Female
  • Glucocorticoids / therapeutic use
  • Gram-Negative Bacterial Infections / diagnosis
  • Gram-Negative Bacterial Infections / drug therapy
  • Gram-Negative Bacterial Infections / microbiology*
  • Humans
  • Intravitreal Injections
  • Lens Implantation, Intraocular
  • Middle Aged
  • Postoperative Complications*
  • Visual Acuity / physiology

Substances

  • Anti-Bacterial Agents
  • Glucocorticoids
  • Dexamethasone
  • Amikacin