Chronic postoperative mycobacterium gordonae endophthalmitis in a patient with phakic intraocular lens

Cristobal Couto*, Silvia Rossetti, Ariel Schlaen, Erika Hurtado, Leonardo D'alessandro, Debra A. Goldstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)491-494
Number of pages4
JournalOcular Immunology and Inflammation
Volume21
Issue number6
DOIs
StatePublished - Dec 1 2013

Keywords

  • Aqueous humor sample
  • Atypical mycobacteria
  • Chronic endophthalmitis
  • Mycobacterium gordonae
  • Phakic intraocular lens

ASJC Scopus subject areas

  • Immunology and Allergy
  • Ophthalmology

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