Korean J Ophthalmol.  2010 Aug;24(4):249-251. 10.3341/kjo.2010.24.4.249.

A Case of Bilateral Endogenous Pantoea Agglomerans Endophthalmitis with Interstitial Lung Disease

• Seok S
• Jang YJ
• Lee SW
• Kim HC
• Ha GY

• KMID: 949065
• DOI: http://doi.org/10.3341/kjo.2010.24.4.249

Abstract

We here in report a case of bilateral endogenous endophthalmitis caused by Pantoea agglomerans (P. agglomerans) in a patient who had interstitial lung disease and was treated with oral corticosteroids. A 72-year-old man presented with decreased visual acuity in both eyes nine days after he received oral corticosteroids. He had marked uveitis, cataracts, and vitreous opacities. Cultures were taken of blood, aqueous humor, and vitreous. We initially suspected a fungal etiology and treated him with antifungal drugs; however, the intraocular disease progressed without improvement. Vitreous culture was positive for P. agglomerans. The patient underwent pars plana vitrectomy with cataract surgery bilaterally, followed by a 2-week course of antibiotics. The final visual acuity was 20/25 in the right eye and 20/200 in the left eye. This is the first report of bilateral endogenous endophthalmitis caused by P. agglomerans in Korea; it is also the first case reported outside of the United States.

Keyword

Endophthalmitis; Pantoea

MeSH Terms

Aged
Anti-Bacterial Agents/therapeutic use
Endophthalmitis/complications/*microbiology/therapy
Enterobacteriaceae Infections/complications/*microbiology/therapy
Eye Infections, Bacterial/complications/*microbiology/therapy
Follow-Up Studies
Humans
Lung Diseases, Interstitial/*complications
Male
Pantoea/*isolation & purification
Visual Acuity
Vitrectomy

Figure

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  Fig. 1 (A) Right eye. Exudate was round, whitish-yellow, and slightly elevated towards the vitreous cavity. (B) Left eye. Exudates were irregular, whitish-yellow, and slightly elevated towards the vitreous cavity.

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  Fig. 2 Hypopyon in the anterior chamber of the right eye.

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  Fig. 3 Pantoea agglomerans was isolated in the vitreous culture. Yellow pigment-producing colonies that were 2 mm in size, nonhemolytic, and convex were detected on a blood agar plate.

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