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Orbit ; 36(5): 344-346, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28700261

RESUMO

Corynebacterium amycolatum is a saprophyte gram-positive bacillus of the skin flora. It has been linked to diverse infections in immunocompromised patients and also of different types of prostheses. However, to our knowledge, there are no reports on its ability to produce ocular infections or to grow over alloplastic materials for orbital surgery. We present a case of orbital implant exposure including pure isolation of C. amycolatum. The patient was referred for discharge in his socket. After removal of the artificial eye, a large area of implant exposure and signs of chronic infection were observed. A microbiological sample was taken by rubbing the implant with a sterile swab. The sample was cultured and C. amycolatum was identified by phenotypical characterization. Other microbial species were not isolated. Besides being able to adhere to cardiac and joint devices, this case shows that C. amycolatum is a potential infectious agent of orbital prostheses. Pure isolation of C. amycolatum in an ocular sample is extremely rare and suggests an etiological role of this microorganism in an ocular or periocular infection.


Assuntos
Infecções por Corynebacterium/microbiologia , Corynebacterium/isolamento & purificação , Infecções Oculares Bacterianas/microbiologia , Implantes Orbitários/microbiologia , Infecções Relacionadas à Prótese/microbiologia , Adulto , Infecções por Corynebacterium/diagnóstico , Infecções por Corynebacterium/terapia , Remoção de Dispositivo , Evisceração do Olho , Infecções Oculares Bacterianas/diagnóstico , Infecções Oculares Bacterianas/terapia , Humanos , Masculino , Testes de Sensibilidade Microbiana , Polietileno , Infecções Relacionadas à Prótese/diagnóstico , Infecções Relacionadas à Prótese/terapia
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