1.A Case of Enterococcus Faecalis Endophthalmitis with Corneal Ulcer.
Korean Journal of Ophthalmology 2004;18(2):175-179
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.
Aged
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Anti-Bacterial Agents/administration & dosage
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Corneal Ulcer/diagnosis/drug therapy/*microbiology
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Endophthalmitis/diagnosis/drug therapy/*microbiology
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Enterococcus faecalis/drug effects/*isolation & purification
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*Eye Infections, Bacterial/diagnosis/drug therapy/microbiology
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Gram-Positive Bacterial Infections/diagnosis/drug therapy/*microbiology
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Humans
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Lens Implantation, Intraocular
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Male
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Microbial Sensitivity Tests
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Surgical Wound Infection/diagnosis/drug therapy/*microbiology
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Treatment Outcome