TY - JOUR
T1 - Chronic postoperative mycobacterium gordonae endophthalmitis in a patient with phakic intraocular lens
AU - Couto, Cristobal
AU - Rossetti, Silvia
AU - Schlaen, Ariel
AU - Hurtado, Erika
AU - D'alessandro, Leonardo
AU - Goldstein, Debra A.
PY - 2013/12
Y1 - 2013/12
N2 - Methods: Case description of a 34 year old woman with chronic granulomatous anterior uveitis following implantation of a phakic anterior chamber intraocular lens (IOL). Aqueous humor was processed for bacterial, fungal culture, and PCR analysis. Results: PCR for 16S ribosomal RNA universal primers was positive and Southern-blot for Propionibacterium spp was negative. Panfungal PCR was negative. Growth of a pigmented yellow colony was detected on Lowenstein-Jensen medium. The isolate was subsequently identified as Mycobacterium gordonae. The patient was treated for atypical mycobacteria as well as an intracameral injection of moxifloxacin, with resolution of inflammation and improvement in visual acuity. Conclusions: This is the first reported case of Mycobacterium gordonae chronic postoperative endophthalmitis, and of chronic endophthalmitis following phakic IOL surgery. PCR and cultures were invaluable in making the diagnosis.
AB - Methods: Case description of a 34 year old woman with chronic granulomatous anterior uveitis following implantation of a phakic anterior chamber intraocular lens (IOL). Aqueous humor was processed for bacterial, fungal culture, and PCR analysis. Results: PCR for 16S ribosomal RNA universal primers was positive and Southern-blot for Propionibacterium spp was negative. Panfungal PCR was negative. Growth of a pigmented yellow colony was detected on Lowenstein-Jensen medium. The isolate was subsequently identified as Mycobacterium gordonae. The patient was treated for atypical mycobacteria as well as an intracameral injection of moxifloxacin, with resolution of inflammation and improvement in visual acuity. Conclusions: This is the first reported case of Mycobacterium gordonae chronic postoperative endophthalmitis, and of chronic endophthalmitis following phakic IOL surgery. PCR and cultures were invaluable in making the diagnosis.
KW - Aqueous humor sample
KW - Atypical mycobacteria
KW - Chronic endophthalmitis
KW - Mycobacterium gordonae
KW - Phakic intraocular lens
UR - http://www.scopus.com/inward/record.url?scp=84887935246&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887935246&partnerID=8YFLogxK
U2 - 10.3109/09273948.2013.824104
DO - 10.3109/09273948.2013.824104
M3 - Article
C2 - 23978249
AN - SCOPUS:84887935246
VL - 21
SP - 491
EP - 494
JO - Ocular Immunology and Inflammation
JF - Ocular Immunology and Inflammation
SN - 0927-3948
IS - 6
ER -