Case Reports in Ophthalmology (Sep 2019)

Post-Traumatic Endophthalmitis Caused by Oerskovia turbata

  • Landon J. Rohowetz,
  • Nimesh A. Patel,
  • Nicolas A. Yannuzzi,
  • Kenneth C. Fan,
  • Darlene Miller,
  • Harry W. Flynn Jr.

DOI
https://doi.org/10.1159/000502413
Journal volume & issue
Vol. 10, no. 3
pp. 312 – 318

Abstract

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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.

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