A case of Pantoea endophthalmitis

Korean J Ophthalmol. 2010 Oct;24(5):318-21. doi: 10.3341/kjo.2010.24.5.318. Epub 2010 Oct 5.

Abstract

A previously healthy 50-year-old man was transferred to our hospital for evaluation of acute inflammation in his right eye after ocular trauma while using a grass mower. Slit lamp examination showed 1 mm-length full thickness corneal laceration without leakage, 4+ cells and inflammatory membrane in the anterior chamber, 10% hypopyon, posterior synechiae formation, and cataract change. Upon orbital computerized tomography, a metallic intraocular foreign body in the lens was identified. Vitrectomy, phacoemulsification, foreign body removal, anterior chamber irrigation, and intravitreal antibiotics injections of vancomycin and ceftazidime were performed. In a culture of humor from the anterior chamber grew Pantoea species. More procedures were performed, including intravitreal antibiotics injection of ceftazidime. Upon administering a course of intravenous ceftazidime, fortified ceftazidime and moxifloxacin eye drops, and oral prednisolone, the patient improved.

Keywords: Endophthalmitis; Pantoea species.

Publication types

  • Case Reports

MeSH terms

  • Anti-Infective Agents / administration & dosage
  • Diagnosis, Differential
  • Endophthalmitis / diagnosis
  • Endophthalmitis / microbiology*
  • Endophthalmitis / therapy
  • Enterobacteriaceae Infections / diagnosis
  • Enterobacteriaceae Infections / microbiology*
  • Enterobacteriaceae Infections / therapy
  • Humans
  • Lens Implantation, Intraocular
  • Male
  • Middle Aged
  • Pantoea / isolation & purification*
  • Republic of Korea

Substances

  • Anti-Infective Agents