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Endophthalmitis caused by Citrobacter species.
Ocul Immunol Inflamm. 2008 Jul-Aug; 16(4):147-53.OI

Abstract

PURPOSE

To investigate clinical settings, treatments, antibiotic sensitivities, and visual outcomes associated with endophthalmitis caused by Citrobacter species.

METHODS

Data were collected for organisms, surgical intervention, antibiotic sensitivity patterns, and final visual acuity.

RESULTS

Six eyes of 6 patients with culture-proven C. freundii (n = 4) or C. koseri(n = 2) endophthalmitis were identified. Clinical settings included cataract surgery (1 eye), cataract surgery combined with trabeculectomy (1), trauma (2), penetrating keratoplasty (1), and presumably endogenous source (1). Primary or secondary evisceration was performed in 3 eyes. Initial pars plana vitrectomy with intravitreal antibiotics was performed in 3 eyes. Final visual acuity was no light perception in 5 eyes, and 1 patient with traumatic C. koseri endophthalmitis achieved a final vision of 20/30.

CONCLUSION

Despite treatment with appropriate antibiotics, Citrobacter endophthalmitis can be associated with a poor visual outcome. Early detection and management may improve the final visual outcome and prevent the possibility of evisceration.

Links

Publisher Full Text

Authors+Show Affiliations

Chen KJ
Department of Ophthalmology, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine Kwei-Shan, Taoyuan, Taiwan. cgr999chiayi@yahoo.com.tw
Sun MH
No affiliation info available
Hwang YS
No affiliation info available
Chen TL
No affiliation info available
Lai CC
No affiliation info available
Chen YP
No affiliation info available

MeSH

AdultAgedAged, 80 and overAnti-Bacterial AgentsCitrobacter freundiiCitrobacter koseriEndophthalmitisEnterobacteriaceae InfectionsEye EviscerationEye Infections, BacterialFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedPhacoemulsificationPostoperative ComplicationsTrabeculectomyVisual Acuity

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18716949

Citation

Chen, Kuan-Jen, et al. "Endophthalmitis Caused By Citrobacter Species." Ocular Immunology and Inflammation, vol. 16, no. 4, 2008, pp. 147-53.
Chen KJ, Sun MH, Hwang YS, et al. Endophthalmitis caused by Citrobacter species. Ocul Immunol Inflamm. 2008;16(4):147-53.
Chen, K. J., Sun, M. H., Hwang, Y. S., Chen, T. L., Lai, C. C., & Chen, Y. P. (2008). Endophthalmitis caused by Citrobacter species. Ocular Immunology and Inflammation, 16(4), 147-53. https://doi.org/10.1080/09273940802184190
Chen KJ, et al. Endophthalmitis Caused By Citrobacter Species. Ocul Immunol Inflamm. 2008 Jul-Aug;16(4):147-53. PubMed PMID: 18716949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endophthalmitis caused by Citrobacter species. AU - Chen,Kuan-Jen, AU - Sun,Ming-Hui, AU - Hwang,Yih-Shiou, AU - Chen,Tun-Lu, AU - Lai,Chi-Chun, AU - Chen,Yen-Po, PY - 2008/8/22/pubmed PY - 2008/12/17/medline PY - 2008/8/22/entrez SP - 147 EP - 53 JF - Ocular immunology and inflammation JO - Ocul Immunol Inflamm VL - 16 IS - 4 N2 - PURPOSE: To investigate clinical settings, treatments, antibiotic sensitivities, and visual outcomes associated with endophthalmitis caused by Citrobacter species. METHODS: Data were collected for organisms, surgical intervention, antibiotic sensitivity patterns, and final visual acuity. RESULTS: Six eyes of 6 patients with culture-proven C. freundii (n = 4) or C. koseri(n = 2) endophthalmitis were identified. Clinical settings included cataract surgery (1 eye), cataract surgery combined with trabeculectomy (1), trauma (2), penetrating keratoplasty (1), and presumably endogenous source (1). Primary or secondary evisceration was performed in 3 eyes. Initial pars plana vitrectomy with intravitreal antibiotics was performed in 3 eyes. Final visual acuity was no light perception in 5 eyes, and 1 patient with traumatic C. koseri endophthalmitis achieved a final vision of 20/30. CONCLUSION: Despite treatment with appropriate antibiotics, Citrobacter endophthalmitis can be associated with a poor visual outcome. Early detection and management may improve the final visual outcome and prevent the possibility of evisceration. SN - 1744-5078 UR - https://www.unboundmedicine.com/medline/citation/18716949/Endophthalmitis_caused_by_Citrobacter_species_ L2 - https://www.tandfonline.com/doi/full/10.1080/09273940802184190 DB - PRIME DP - Unbound Medicine ER -