Post-traumatic endophthalmitis caused by .

Authors:
Carlos Armiñanzas Castillo
Carlos Armiñanzas Castillo
is medical director at George Washington University
Washington | United States
Jorge Calvo
Jorge Calvo
Hospital Universitario Marqués de Valdecilla
Spain

JMM Case Rep 2019 Feb 20;6(2):e005175. Epub 2019 Feb 20.

Departament of Microbiology, University Hospital Marqués de Valdecilla - IDIVAL, Santander, Spain.

Introduction: complex has been associated with infections in both immunocompetent and immunocompromised patients. Infection can be localized or disseminated, affecting skin and soft tissues, the respiratory system, bones and joints, the circulatory system and especially the central nervous system. Ocular infections such as keratitis, scleritis, conjunctivitis, dacryocystitis, orbital cellulitis and endophthalmitis due to spp. are infrequently reported, and usually described after penetrating corneal trauma or ocular contact with plants and soils.

Case Presentation: An immunocompetent male presented with a history of penetrating ocular trauma that had evolved to infectious endophthalmitis, which was refractory to different antibiotic treatments. No micro-organisms were isolated from repeated conjunctival smear and corneal scraping cultures between the ocular trauma (August 2014) and the endophthalmitis diagnosis (November 2015). After this period, was isolated in aqueous humour aspirate. Treatment was adjusted and clinical improvement was obtained after an adequate microbiological procedure, including an optimal sampling and an antimicrobial-susceptibility testing report.

Conclusion: identification to the species level and performance of antimicrobial-susceptibility tests are both essential tools for treatment adjustment and clinical improvement.

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Source
http://dx.doi.org/10.1099/jmmcr.0.005175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421342PMC
February 2019
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References

(Supplied by CrossRef)
Comparison of agar dilution, broth microdilution, disk diffusion, E-test, and BACTEC radiometric methods for antimicrobial susceptibility testing of clinical isolates of the Nocardia asteroides complex
Ambaye et al.
J Clin Microbiol 1997

2011

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