6 Citations (Scopus)

Abstract

Propionibacterium acnes has rarely been reported as the causative organism in acute endophthalmitis following penetrating ocular trauma. We report a 53-year-old man, who presented with best corrected vision of counting fingers at 2 m, <N36, in the right eye and clinical features suggestive of endophthalmitis following penetrating trauma with a tree branch 2 days earlier. Conjunctival swab, aqueous and vitreous tap were sent for aerobic, anaerobic and fungal culture. The patient was treated with intravitreal ceftazidime, vancomycin along with topical antibiotics and steroids. An aqueous anaerobic culture was positive for P acnes. At the fifth month follow-up, the best corrected vision had improved to 20/20, N6. Thus, a good visual outcome was achieved, following appropriate treatment of a rather unusual causative organism.

Original languageEnglish
Article number201452
JournalBMJ Case Reports
DOIs
Publication statusPublished - 04-10-2013

Fingerprint

Propionibacterium acnes
Endophthalmitis
Ceftazidime
Acne Vulgaris
Wounds and Injuries
Vancomycin
Fingers
Steroids
Anti-Bacterial Agents
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Acute post-traumatic endophthalmitis secondary to Propionibacterium acnes",
abstract = "Propionibacterium acnes has rarely been reported as the causative organism in acute endophthalmitis following penetrating ocular trauma. We report a 53-year-old man, who presented with best corrected vision of counting fingers at 2 m, <N36, in the right eye and clinical features suggestive of endophthalmitis following penetrating trauma with a tree branch 2 days earlier. Conjunctival swab, aqueous and vitreous tap were sent for aerobic, anaerobic and fungal culture. The patient was treated with intravitreal ceftazidime, vancomycin along with topical antibiotics and steroids. An aqueous anaerobic culture was positive for P acnes. At the fifth month follow-up, the best corrected vision had improved to 20/20, N6. Thus, a good visual outcome was achieved, following appropriate treatment of a rather unusual causative organism.",
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T1 - Acute post-traumatic endophthalmitis secondary to Propionibacterium acnes

AU - Shailaja, S.

AU - Kamath, Yogish

AU - Hazarika, Manali

AU - Vishwanath, Shashidhar

PY - 2013/10/4

Y1 - 2013/10/4

N2 - Propionibacterium acnes has rarely been reported as the causative organism in acute endophthalmitis following penetrating ocular trauma. We report a 53-year-old man, who presented with best corrected vision of counting fingers at 2 m, <N36, in the right eye and clinical features suggestive of endophthalmitis following penetrating trauma with a tree branch 2 days earlier. Conjunctival swab, aqueous and vitreous tap were sent for aerobic, anaerobic and fungal culture. The patient was treated with intravitreal ceftazidime, vancomycin along with topical antibiotics and steroids. An aqueous anaerobic culture was positive for P acnes. At the fifth month follow-up, the best corrected vision had improved to 20/20, N6. Thus, a good visual outcome was achieved, following appropriate treatment of a rather unusual causative organism.

AB - Propionibacterium acnes has rarely been reported as the causative organism in acute endophthalmitis following penetrating ocular trauma. We report a 53-year-old man, who presented with best corrected vision of counting fingers at 2 m, <N36, in the right eye and clinical features suggestive of endophthalmitis following penetrating trauma with a tree branch 2 days earlier. Conjunctival swab, aqueous and vitreous tap were sent for aerobic, anaerobic and fungal culture. The patient was treated with intravitreal ceftazidime, vancomycin along with topical antibiotics and steroids. An aqueous anaerobic culture was positive for P acnes. At the fifth month follow-up, the best corrected vision had improved to 20/20, N6. Thus, a good visual outcome was achieved, following appropriate treatment of a rather unusual causative organism.

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