Volume 8, Issue 1 (1-2019)
aumj 2019, 8(1): 75-78 |
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Karami S, Firoozeh F, Saffari M, Ameli Zamani K. Post-cataract Surgery Endophthalmitis by Multidrug Resistant Pseudomonas aeruginosa : Case Report. aumj 2019; 8 (1) :75-78
URL: http://aums.abzums.ac.ir/article-1-889-en.html
URL: http://aums.abzums.ac.ir/article-1-889-en.html
1- Department of Microbiology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
2- Dietary Supplements and Probiotics Research Center, Alborz University of Medical Sciences, Karaj, Iran ,firoozeh823@gmail.com
3- Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Dietary Supplements and Probiotics Research Center, Alborz University of Medical Sciences, Karaj, Iran ,
3- Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (4811 Views)
Introduction: Endophthalmitis is the most devastating complications of cataract surgery that can lead to visual loss, blindness and death in severe cases. Pseudomonas aeruginosa is a gram negative rod that known to cause keratitis and endophthalmitis. The emergence of multidrug resistant Pseudomonas aeruginosa strains is a serious problem. The treatment of endophthalmitis by multidrug resistant Pseudomonas aeruginosa strains is very difficult due to the limitation for the choice of effective antibiotic.
Case Presentation: A 63-year-old woman was admitted to the hospital with severe pain and blurred vision. She had (PE+PCIOL) surgery in her right eye three days ago. Endophthalmitis was diagnosed and the Pseudomonas aeruginosa was identified in culture. The study of antimicrobial resistance pattern showed the Pseudomonas aeruginosa strain was multidrug resistant. After vitrectomy the patient had vision loss and finally the severe vitreous reaction led to death.
Conclusion: Pseudomonas aeruginosa endophthalmitis is a rapidly progressive infection and associated with sight loss. The treatment of multidrug resistant Pseudomonas aeruginosa endophthalmitis is difficult and rapid treatment with appropriate antibiotic according to determination of antimicrobial resistance pattern is essential.
Case Presentation: A 63-year-old woman was admitted to the hospital with severe pain and blurred vision. She had (PE+PCIOL) surgery in her right eye three days ago. Endophthalmitis was diagnosed and the Pseudomonas aeruginosa was identified in culture. The study of antimicrobial resistance pattern showed the Pseudomonas aeruginosa strain was multidrug resistant. After vitrectomy the patient had vision loss and finally the severe vitreous reaction led to death.
Conclusion: Pseudomonas aeruginosa endophthalmitis is a rapidly progressive infection and associated with sight loss. The treatment of multidrug resistant Pseudomonas aeruginosa endophthalmitis is difficult and rapid treatment with appropriate antibiotic according to determination of antimicrobial resistance pattern is essential.
Type of Study: Case Report |
Subject:
Special
Received: 2019/03/08 | Accepted: 2019/03/08 | Published: 2019/03/08
Received: 2019/03/08 | Accepted: 2019/03/08 | Published: 2019/03/08
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