ABSTRACT
PURPOSE: To report a case of late onset posttraumatic endophthalmitis secondary to Propionibacterium acnes infection. METHODS: Interventional case report. RESULTS: A 28-year-old man developed endophthalmitis 6 months after a penetrating trauma. The patient underwent pars plana lensectomy and vitrectomy along with injection of intravitreal antibiotics. Anaerobic cultures of the vitreous yielded P. acnes. Seven months after surgery, the eye was quiet with a best-corrected visual acuity of 20/60. CONCLUSIONS: This case emphasizes the importance of considering P acnes when treating patients with late onset posttraumatic endophthalmitis.
Subject(s)
Endophthalmitis/microbiology , Eye Infections, Bacterial/microbiology , Eye Injuries, Penetrating/microbiology , Gram-Positive Bacterial Infections/microbiology , Propionibacterium acnes/isolation & purification , Adult , Anti-Bacterial Agents/therapeutic use , Endophthalmitis/drug therapy , Endophthalmitis/surgery , Eye Infections, Bacterial/drug therapy , Eye Infections, Bacterial/surgery , Eye Injuries, Penetrating/therapy , Gram-Positive Bacterial Infections/drug therapy , Gram-Positive Bacterial Infections/surgery , Humans , Male , Treatment Outcome , Visual Acuity , Vitrectomy/methodsABSTRACT
PURPOSE: To report a case of late onset posttraumatic endophthalmitis secondary to Propionibacterium acnes infection. METHODS: Interventional case report. RESULTS: A 28-year-old man developed endophthalmitis 6 months after a penetrating trauma. The patient underwent pars plana lensectomy and vitrectomy along with injection of intravitreal antibiotics. Anaerobic cultures of the vitreous yielded P. acnes. Seven months after surgery, the eye was quiet with a best-corrected visual acuity of 20/60. CONCLUSIONS: This case emphasizes the importance of considering P. acnes when treating patients with late onset posttraumatic endophthalmitis. (Eur J Ophthalmol 2004; 14: 442-4).
