A Case of Enterococcus Faecalis Endophthalmitis with Corneal Ulcer.
10.3341/kjo.2004.18.2.175
- Author:
Sun Min LEE
1
;
Jeong Hee LEE
Author Information
1. Department of Ophthalmology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
corneal ulcer;
endophthalmitis;
Enterococcus faecalis
- MeSH:
Aged;
Anti-Bacterial Agents/administration & dosage;
Corneal Ulcer/diagnosis/drug therapy/*microbiology;
Endophthalmitis/diagnosis/drug therapy/*microbiology;
Enterococcus faecalis/drug effects/*isolation & purification;
*Eye Infections, Bacterial/diagnosis/drug therapy/microbiology;
Gram-Positive Bacterial Infections/diagnosis/drug therapy/*microbiology;
Humans;
Lens Implantation, Intraocular;
Male;
Microbial Sensitivity Tests;
Surgical Wound Infection/diagnosis/drug therapy/*microbiology;
Treatment Outcome
- From:Korean Journal of Ophthalmology
2004;18(2):175-179
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although there have been a few reported cases of Enterococcal endophthalmitis, this is an unusual case of endophthalmitis complicated with corneal ulcer caused by Enterococcus faecalis. A 67-year-old male patient with diabetes mellitus underwent secondary intraocular lens implantation. Post-operative recovery was uneventful until a wound rupture was noted 3 weeks after the operation. On day 12 after the repair of the wound, endophthalmitis accompanied by wound necrosis and a fullthickness corneal ulcer was detected. His vision was light perception, and Enterococcus faecalis was identified by culture in samples of conjunctival sac, anterior chamber and vitreous humor. After 3 rounds of intravitreal antibiotics injection, the vitreous opacity disappeared on ultrasonographic finding but corneal opacity and corneal neovascularization still remained.
