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Endophthalmitis caused by Stenotrophomonas maltophilia.
Ophthalmic Surg Lasers Imaging. 2010 Sep 22; 41(5):e555-61.OS

Abstract

BACKGROUND AND OBJECTIVE

The authors investigate clinical settings, antibiotic susceptibility and resistance patterns, and visual outcomes associated with endophthalmitis caused by Stenotrophomonas maltophilia.

PATIENTS AND METHODS

Records of six patients with S. maltophilia endophthalmitis between January 1, 1998, and December 31, 2007, were reviewed.

RESULTS

Clinical settings included post-trauma (2 eyes), post-cataract extraction (2 eyes), post-keratoplasty with keratitis (1 eye), and post-vitreous lavage (1 eye). Presenting visual acuity ranged from counting fingers to no light perception. Final visual acuity ranged from 10/20 to no light perception. Initial treatment included pars plana vitrectomy in 4 eyes and tap in 2 eyes. Most isolates were susceptible to fluoroquinolones (ciprofloxacin, levofloxacin, or moxifloxacin) and sulfamethoxazole-trimethoprim; however, they were resistant to ceftazidime and aminoglycosides.

CONCLUSION

S. maltophilia is an uncommon causative agent of endophthalmitis and is resistant to commonly used antibiotics, such as ceftazidime and aminoglycosides. Based on in vitro antibiotic susceptibility testing, sulfamethoxazole-trimethoprim and new-generation fluoroquinolones may be preferable in the treatment of endophthalmitis caused by S. maltophilia.

Authors+Show Affiliations

Department of Ophthalmology, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan. cgr999chiayi@yahoo.com.twNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20873692

Citation

Chen, Kuan-Jen, et al. "Endophthalmitis Caused By Stenotrophomonas Maltophilia." Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye, vol. 41, no. 5, 2010, pp. e555-61.
Chen KJ, Wang NK, Sun MH, et al. Endophthalmitis caused by Stenotrophomonas maltophilia. Ophthalmic Surg Lasers Imaging. 2010;41(5):e555-61.
Chen, K. J., Wang, N. K., Sun, M. H., Chen, T. L., Lai, C. C., Wu, W. C., & Tan, H. Y. (2010). Endophthalmitis caused by Stenotrophomonas maltophilia. Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye, 41(5), e555-61. https://doi.org/10.3928/15428877-20100910-03
Chen KJ, et al. Endophthalmitis Caused By Stenotrophomonas Maltophilia. Ophthalmic Surg Lasers Imaging. 2010 Sep 22;41(5):e555-61. PubMed PMID: 20873692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endophthalmitis caused by Stenotrophomonas maltophilia. AU - Chen,Kuan-Jen, AU - Wang,Nan-Kai, AU - Sun,Ming-Hui, AU - Chen,Tun-Lu, AU - Lai,Chi-Chun, AU - Wu,Wei-Chi, AU - Tan,Hsin-Yuan, Y1 - 2010/09/22/ PY - 2010/02/27/received PY - 2010/06/09/accepted PY - 2010/9/30/entrez PY - 2010/9/30/pubmed PY - 2011/2/8/medline SP - e555 EP - 61 JF - Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye JO - Ophthalmic Surg Lasers Imaging VL - 41 IS - 5 N2 - BACKGROUND AND OBJECTIVE: The authors investigate clinical settings, antibiotic susceptibility and resistance patterns, and visual outcomes associated with endophthalmitis caused by Stenotrophomonas maltophilia. PATIENTS AND METHODS: Records of six patients with S. maltophilia endophthalmitis between January 1, 1998, and December 31, 2007, were reviewed. RESULTS: Clinical settings included post-trauma (2 eyes), post-cataract extraction (2 eyes), post-keratoplasty with keratitis (1 eye), and post-vitreous lavage (1 eye). Presenting visual acuity ranged from counting fingers to no light perception. Final visual acuity ranged from 10/20 to no light perception. Initial treatment included pars plana vitrectomy in 4 eyes and tap in 2 eyes. Most isolates were susceptible to fluoroquinolones (ciprofloxacin, levofloxacin, or moxifloxacin) and sulfamethoxazole-trimethoprim; however, they were resistant to ceftazidime and aminoglycosides. CONCLUSION: S. maltophilia is an uncommon causative agent of endophthalmitis and is resistant to commonly used antibiotics, such as ceftazidime and aminoglycosides. Based on in vitro antibiotic susceptibility testing, sulfamethoxazole-trimethoprim and new-generation fluoroquinolones may be preferable in the treatment of endophthalmitis caused by S. maltophilia. SN - 1938-2375 UR - https://www.unboundmedicine.com/medline/citation/20873692/Endophthalmitis_caused_by_Stenotrophomonas_maltophilia_ L2 - https://www.healio.com/doiresolver?doi=10.3928/15428877-20100910-03 DB - PRIME DP - Unbound Medicine ER -