| Recurrent enterococcal endophthalmitis seeded by an intraocular lens biofilm. | |
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MedLine Citation:
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PMID: 21700113 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case of endophthalmitis following uneventful phacoemulsification and posterior chamber intraocular lens (IOL) implantation in a 77-year-old diabetic man was culture-positive for Enterococcus faecalis. After successful treatment with intravitreal, topical, and systemic antibiotic agents, the infection seemed to clear and the patient achieved a corrected visual acuity of 20/25. Four months after the initial presentation, the patient again developed signs and symptoms of endophthalmitis, with regrowth of E faecalis. The antibiotic therapy was repeated. One month later, the IOL was removed surgically and found to harbor a biofilm of the strain demonstrated by DNA analysis. The microbiologic and DNA analyses support that a biofilm on an IOL could be a vector for a cause of recurrent endophthalmitis. Intraocular lens exchange in cases of postoperative endophthalmitis caused by E faecalis may be considered to decrease the risk for recurrent infection. |
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Authors:
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Kimberly V Miller; Kari M Eisley; Robert M Q Shanks; Roni M Lahr; Kira L Lathrop; Regis P Kowalski; Robert J Noecker |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of cataract and refractive surgery Volume: 37 ISSN: 1873-4502 ISO Abbreviation: J Cataract Refract Surg Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-06-24 Completed Date: 2011-09-15 Revised Date: 2013-03-12 |
Medline Journal Info:
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Nlm Unique ID: 8604171 Medline TA: J Cataract Refract Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1355-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Charles T. Campbell Ophthalmic Microbiology Laboratory, UPMC Eye Center, Ophthalmology and Visual Sciences Research Center, The Eye and Ear Institute, Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biofilms* Endophthalmitis / diagnosis, drug therapy, microbiology* Enterococcus faecalis / isolation & purification, physiology* Eye Infections, Bacterial / diagnosis, drug therapy, microbiology* Gram-Positive Bacterial Infections / diagnosis, drug therapy, microbiology* Humans Lens Implantation, Intraocular Lenses, Intraocular / microbiology* Male Phacoemulsification Prosthesis-Related Infections / diagnosis, drug therapy, microbiology* Recurrence |
| Grant Support | |
ID/Acronym/Agency:
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AI085570/AI/NIAID NIH HHS; EY 08098/EY/NEI NIH HHS; R01 AI085570/AI/NIAID NIH HHS; R01 AI085570-03/AI/NIAID NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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