Post-Traumatic Endophthalmitis Caused by Oerskovia turbata
Purpose: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. Case Report: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and...
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| Veröffentlicht in: | Case Reports in Ophthalmology 2019-09, Vol.10 (3), p.312-318 |
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| container_title | Case Reports in Ophthalmology |
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| creator | Rohowetz, Landon J. Patel, Nimesh A. Yannuzzi, Nicolas A. Fan, Kenneth C. Miller, Darlene Flynn Jr, Harry W. |
| description | Purpose: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. Case Report: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up. Conclusion: This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation. |
| doi_str_mv | 10.1159/000502413 |
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Case Report: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up. Conclusion: This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.</description><identifier>ISSN: 1663-2699</identifier><identifier>EISSN: 1663-2699</identifier><identifier>DOI: 10.1159/000502413</identifier><identifier>PMID: 31607896</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Antibiotics ; Capsulectomy ; Care and treatment ; Case Report ; Case reports ; Cataracts ; Endocarditis ; Endophthalmitis ; Eye surgery ; Health aspects ; Infection ; Infections ; Inflammation ; Injuries ; Lensectomy ; Oerskovia turbata ; Organisms ; Pain ; Post-traumatic endophthalmitis ; Soil contamination ; Trauma ; Ultrasonic imaging</subject><ispartof>Case Reports in Ophthalmology, 2019-09, Vol.10 (3), p.312-318</ispartof><rights>2019 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2019 by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2019 S. Karger AG</rights><rights>Copyright © 2019 by S. Karger AG, Basel 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c552t-f0169fbd57f6335c7119312dc554dd95cbeebaaa2ec493b034a6ed07e1c8e8e33</citedby><cites>FETCH-LOGICAL-c552t-f0169fbd57f6335c7119312dc554dd95cbeebaaa2ec493b034a6ed07e1c8e8e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787431/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787431/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,2098,27618,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31607896$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rohowetz, Landon J.</creatorcontrib><creatorcontrib>Patel, Nimesh A.</creatorcontrib><creatorcontrib>Yannuzzi, Nicolas A.</creatorcontrib><creatorcontrib>Fan, Kenneth C.</creatorcontrib><creatorcontrib>Miller, Darlene</creatorcontrib><creatorcontrib>Flynn Jr, Harry W.</creatorcontrib><title>Post-Traumatic Endophthalmitis Caused by Oerskovia turbata</title><title>Case Reports in Ophthalmology</title><addtitle>Case Rep Ophthalmol</addtitle><description>Purpose: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. Case Report: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up. Conclusion: This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.</description><subject>Antibiotics</subject><subject>Capsulectomy</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cataracts</subject><subject>Endocarditis</subject><subject>Endophthalmitis</subject><subject>Eye surgery</subject><subject>Health aspects</subject><subject>Infection</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Injuries</subject><subject>Lensectomy</subject><subject>Oerskovia turbata</subject><subject>Organisms</subject><subject>Pain</subject><subject>Post-traumatic endophthalmitis</subject><subject>Soil contamination</subject><subject>Trauma</subject><subject>Ultrasonic imaging</subject><issn>1663-2699</issn><issn>1663-2699</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DOA</sourceid><recordid>eNptkU1r3DAQhkVpaUKaQ--lGHrKwak-LNnqoRCWJA0ENof0LEZfu9qsra1kB_Lvq9TbbQJFhxEz7zzzDoPQR4LPCeHyK8aYY9oQ9gYdEyFYTYWUb1_8j9Bpzpsiw0zSjvD36IgRgdtOimP07S7msb5PMPUwBlNdDjbu1uMatn0YQ64WMGVnK_1ULV3KD_ExQDVOScMIH9A7D9vsTvfxBP28urxf_Khvl9c3i4vb2nBOx9pjIqTXlrdeMMZNS4hkhNpSbayV3GjnNABQZxrJNGYNCGdx64jpXOcYO0E3M9dG2KhdCj2kJxUhqD-JmFYKUvG-darlmhivfSOtaJjpOuEpFJ7hJcNpW1jfZ9Zu0r2zxg1jgu0r6OvKENZqFR-VaLu2YaQAvuwBKf6aXB7VJk5pKPsryjCRuOz4POZ8Vq2guAqDjwVmyrOuDyYOzoeSvxAMS0mF4KXhbG4wKeacnD9YIlg9n1kdzly0n1_ucFD-Peo_jw-QVi4dBIvl3YxQO-uL6tN_VfspvwHTabac</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Rohowetz, Landon J.</creator><creator>Patel, Nimesh A.</creator><creator>Yannuzzi, Nicolas A.</creator><creator>Fan, Kenneth C.</creator><creator>Miller, Darlene</creator><creator>Flynn Jr, Harry W.</creator><general>S. Karger AG</general><general>Karger Publishers</general><scope>M--</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20190901</creationdate><title>Post-Traumatic Endophthalmitis Caused by Oerskovia turbata</title><author>Rohowetz, Landon J. ; Patel, Nimesh A. ; Yannuzzi, Nicolas A. ; Fan, Kenneth C. ; Miller, Darlene ; Flynn Jr, Harry W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c552t-f0169fbd57f6335c7119312dc554dd95cbeebaaa2ec493b034a6ed07e1c8e8e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Antibiotics</topic><topic>Capsulectomy</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Cataracts</topic><topic>Endocarditis</topic><topic>Endophthalmitis</topic><topic>Eye surgery</topic><topic>Health aspects</topic><topic>Infection</topic><topic>Infections</topic><topic>Inflammation</topic><topic>Injuries</topic><topic>Lensectomy</topic><topic>Oerskovia turbata</topic><topic>Organisms</topic><topic>Pain</topic><topic>Post-traumatic endophthalmitis</topic><topic>Soil contamination</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rohowetz, Landon J.</creatorcontrib><creatorcontrib>Patel, Nimesh A.</creatorcontrib><creatorcontrib>Yannuzzi, Nicolas A.</creatorcontrib><creatorcontrib>Fan, Kenneth C.</creatorcontrib><creatorcontrib>Miller, Darlene</creatorcontrib><creatorcontrib>Flynn Jr, Harry W.</creatorcontrib><collection>Karger Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case Reports in Ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rohowetz, Landon J.</au><au>Patel, Nimesh A.</au><au>Yannuzzi, Nicolas A.</au><au>Fan, Kenneth C.</au><au>Miller, Darlene</au><au>Flynn Jr, Harry W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-Traumatic Endophthalmitis Caused by Oerskovia turbata</atitle><jtitle>Case Reports in Ophthalmology</jtitle><addtitle>Case Rep Ophthalmol</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>10</volume><issue>3</issue><spage>312</spage><epage>318</epage><pages>312-318</pages><issn>1663-2699</issn><eissn>1663-2699</eissn><abstract>Purpose: To present a previously unreported cause of bacterial endophthalmitis manifesting as delayed post-traumatic endophthalmitis ultimately responsive to total capsulectomy. Case Report: A patient presented with chronic endophthalmitis that occurred after ocular trauma with organic material and Oerskovia turbata was eventually isolated. After a prolonged treatment course, including two pars plana vitrectomies and total capsulectomy, the patient achieved 20/80 visual acuity at 1-year follow-up. Conclusion: This is the first reported patient with endophthalmitis due to O. turbata, a Gram-positive bacillus found in soil that rarely causes human infection. The infection had a delayed presentation despite early prophylactic antibiotics and was ultimately eliminated with total capsulectomy. Removal of lens and lens capsule may be necessary in the management of post-traumatic endophthalmitis unresponsive to more conservative therapy, particularly in cases involving atypical organisms and lens capsule violation.</abstract><cop>Basel, Switzerland</cop><pub>S. 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| subjects | Antibiotics Capsulectomy Care and treatment Case Report Case reports Cataracts Endocarditis Endophthalmitis Eye surgery Health aspects Infection Infections Inflammation Injuries Lensectomy Oerskovia turbata Organisms Pain Post-traumatic endophthalmitis Soil contamination Trauma Ultrasonic imaging |
| title | Post-Traumatic Endophthalmitis Caused by Oerskovia turbata |
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