TITLE

Delayed Posttraumatic Propionibacterium acnes Endophthalmitis in a Child

AUTHOR(S)
Huynh, Tony H.; Johnson, Mark W.
PUB. DATE
July 2006
SOURCE
Ophthalmic Surgery, Lasers & Imaging;Jul/Aug2006, Vol. 37 Issue 4, p314
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A 7-year-old boy presented with granulomatous anterior uveitis after an unrecognized penetrating injury in the same eye 2 months previously. The uveitis was unresponsive to topical corticosteroid therapy, lensectomy with anterior vitrectomy, and administration of intraocular and subconjunctival injections of vancomycin. Pars plana vitrectomy, capsulectomy, and injection of intravitreal vancomycin were eventually performed, leading to complete resolution of the intraocular inflammation. Culture and histopathologic examination of a capsular specimen confirmed sequestered Propionibacterium acnes infection. This case demonstrates that P. acnes may cause delayed endophthalmitis following penetrating trauma and may persist within capsular remnants in the aphakic eye.
ACCESSION #
21546883

 

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