Korean J Ophthalmol.  2010 Oct;24(5):318-321. 10.3341/kjo.2010.24.5.318.

A Case of Pantoea Endophthalmitis

• Lee NE
• Chung IY
• Park JM

• KMID: 974329
• DOI: http://doi.org/10.3341/kjo.2010.24.5.318

Abstract

A previously healthy 50-year-old man was transferred to our hospital for evaluation of acute inflammation in his right eye after ocular trauma while using a grass mower. Slit lamp examination showed 1 mm-length full thickness corneal laceration without leakage, 4+ cells and inflammatory membrane in the anterior chamber, 10% hypopyon, posterior synechiae formation, and cataract change. Upon orbital computerized tomography, a metallic intraocular foreign body in the lens was indentified. Vitrectomy, phacoemulsification, foreign body removal, anterior chamber irrigation, and intravitreal antibiotics injections of vancomycin and ceftazidime were performed. In a culture of humor from the anterior chamber grew Pantoea species. More procedures were performed, including intravitreal antibiotics injection of ceftazidime. Upon administering a course of intravenous ceftazidime, fortified ceftazidime and moxifloxacin eye drops, and oral prednisolone, the patient improved.

Keyword

Endophthalmitis; Pantoea species

MeSH Terms

Anti-Infective Agents/administration & dosage
Diagnosis, Differential
Endophthalmitis/diagnosis/*microbiology/therapy
Enterobacteriaceae Infections/diagnosis/*microbiology/therapy
Humans
Lens Implantation, Intraocular
Male
Middle Aged
Pantoea/*isolation & purification
Republic of Korea

Figure

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  Fig. 1 Slit lamp photography at initial presentation shows conjunctival injection, corneal edema, hypopyon, exudative membrane, and mid-dilated pupil.

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  Fig. 2 Orbital computerized tomography shows a metallic intraocular foreign body in the lens.

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  Fig. 3 A culture of aspirated aqueous humor from the anterior chamber shows growth of Pantoea species (culture media: McConkey agar).

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  Fig. 4 Fundus photography at two months after trauma shows vitreous and retinal clarity.

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