Two Different Cases of Stenotrophomonas Maltophilia Endophthalmitis after Cataract Surgery.

Jung, Ji Won; Kang, Haeng Ku; Chin, Hee Seung

doi:2012.53.1.161

J Korean Ophthalmol Soc > Volume 53(1); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(1):161-167.
DOI: https://doi.org/10.3341/jkos.2012.53.1.161 Published online January 15, 2012.

Two Different Cases of Stenotrophomonas Maltophilia Endophthalmitis after Cataract Surgery.

Ji Won Jung, Haeng Ku Kang, Hee Seung Chin

Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea. hschin@inha.ac.kr

백내장 수술 후 서로 다른 임상 양상을 보인 스테노트로포모나스 말토필리아 안내염 2예

정지원⋅강행구⋅진희승

Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea

Abstract

PURPOSE
To report 2 different cases of postoperative endophthalmitis caused by Stenotrophomonas maltophilia after cataract surgery. CASE SUMMARY: A 73-year-old male with diabetes mellitus developed severe pain in the right eye 2 weeks after cataract surgery. The patient was hospitalized with a diagnosis of infectious endophthalmitis, and vitrectomy was performed. Cultures of aqueous humor and vitreous aspirate revealed S. maltophilia. On day 30 after vitrectomy, his visual acuity had improved to 20/20 and there were no recurrences. A 61-year-old female with no significant past medical history was referred for uveitis or delayed onset endophthalmitis 30 days after cataract surgery. An anterior chamber tapping and cultures were performed. S. maltophilia and Aspergillus fumigatus were isolated. The patient received antibiotics and antifungal agents and her visual acuity improved to 20/25. CONCLUSIONS: S. maltophilia has been considered a life-threatening systemic opportunistic infection; however, the organism has recently been reported as an exogenous pathogen of endophthalmitis following cataract surgery. Herein, 2 different cases of S. maltophilia endophthalmitis after cataract surgery are presented and compared with previous case reports.

Key Words: Aspergillus fumigatus;Coinfection;Postoperative endophthalmitis;Stenotrophomonas maltophilia