[Morganella morganii endophthalmitis after vitrectomy: case report and review of the literature]. / Endophtalmie à Morganella morganii après vitrectomie: cas clinique et revue de la litérature.
Klin Monbl Augenheilkd
; 220(3): 207-9, 2003 Mar.
Article
em Fr
| MEDLINE
| ID: mdl-12664382
ABSTRACT
BACKGROUND:
Postoperative bacterial endophthalmitis are caused in 80 % of the cases by the patient's own flora. Most of the time, bacterial agents are Gram-positive ((2/3) of cases) and more rarely Gram-negative ((1/3) of cases). Usually, Pseudomonas sp, Proteus sp or Klebsiella sp are isolated, but very rarely Morganella morganii. HISTORY AND SIGNS We describe a case of a Morganella morganii endophthalmitis which occurred after a vitrectomy. THERAPY ANDOUTCOME:
Bacterial examinations disclosed the presence of Morganella morganii in the vitreous. An aggressive treatment (intravitreous [ceftazidim, vancomycin], topical [gentamycin, chloramphenicol] and intravenous [imipenem, ofloxacin] antibiotics) was introduced. In spite of this treatment, the outcome was not favorable.CONCLUSIONS:
Post-vitrectomy endophthalmitis is very rare and the isolation of a Gram-negative bacteria, in this case Morganella morganii, is infrequent. The outcome of these infections is often poor despite the introduction of a rapid, specific and aggressive treatment.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Vitrectomia
/
Endoftalmite
/
Membrana Epirretiniana
/
Morganella morganii
/
Infecções por Enterobacteriaceae
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
Fr
Ano de publicação:
2003
Tipo de documento:
Article