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Gemella species-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C.
- Source :
-
Journal of glaucoma [J Glaucoma] 2009 Aug; Vol. 18 (6), pp. 496-7. - Publication Year :
- 2009
-
Abstract
- Purpose: To report 2 cases of delayed-onset, bleb-related endophthalmitis induced by Gemella species.<br />Methods: Interventional case report.<br />Results: Two patients developed bleb-related ocular infection attributable to Gemella haemolysans and Gemella morbillorum after trabeculectomy with adjunctive mitomycin C. Both patients had thin-walled cystic filtering blebs before ocular infection. One patient underwent urgent vitrectomy with intravitreal injection of ceftazidime and vancomycin. The other received an intraocular injection of vancomycin and ceftazidime. After surgical intervention, 2 cases were administered topical levofloxacin and sulfobenzylpenicillin, and intravenous cefpirome. The DNA from the microorganism was sequenced and identified as G. haemolysans and G. morbillorum.<br />Conclusions: Gemella species should be added to the long list of organisms that may rarely cause bleb-associated endophthalmitis.
- Subjects :
- Adult
Anti-Bacterial Agents therapeutic use
Blister microbiology
Conjunctiva surgery
Drug Therapy, Combination
Endophthalmitis diagnosis
Endophthalmitis drug therapy
Eye Infections, Bacterial diagnosis
Eye Infections, Bacterial drug therapy
Female
Gram-Positive Bacterial Infections diagnosis
Gram-Positive Bacterial Infections drug therapy
Humans
Male
Middle Aged
Surgically-Created Structures microbiology
Vitrectomy
Endophthalmitis microbiology
Eye Infections, Bacterial microbiology
Gram-Positive Bacterial Infections microbiology
Mitomycin administration & dosage
Postoperative Complications
Staphylococcaceae isolation & purification
Trabeculectomy
Subjects
Details
- Language :
- English
- ISSN :
- 1536-481X
- Volume :
- 18
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of glaucoma
- Publication Type :
- Academic Journal
- Accession number :
- 19680060
- Full Text :
- https://doi.org/10.1097/IJG.0b013e31818c6f07