| Endophthalmitis Caused by Stenotrophomonas maltophilia after Cataract Surgery: Clinical Features, Antibiotic Sensitivities, and Outcomes. |
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Jae Min Kim, Han Joo Cho, Hyung Suk Kim, Jung Il Han, Dong Won Lee, Chul Gu Kim, Jong Woo Kim |
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Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. chojoo@kimeye.com |
| 백내장수술 후 발생한 스테노트로포모나스말토필리아 안내염: 임상양상, 항생제 감수성과 예후 |
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김재민⋅조한주⋅김형석⋅한정일⋅이동원⋅김철구⋅김종우 |
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건양대학교 의과대학 김안과병원 안과학교실 |
Correspondence:
Han Joo Cho,
Email: chojoo@kimeye.com
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Received: 9 February 2017 • Revised: 25 April 2017 • Accepted: 29 May 2017 |
| Abstract |
PURPOSE
To describe the clinical manifestations, treatment results, and antibiotic susceptibility in 6 cases of Stenotrophomonas maltophilia endophthalmitis. METHODS: We retrospectively reviewed 6 eyes of 6 patients who were diagnosed with Stenotrophomonas maltophilia endophthalmitis. Specifically, we considered each patient's age, sex, past history, visual acuity, hypopyon, treatment, and prognosis. RESULTS: For our study, we considered patients treated during the period of January 2008 to December 2015. Stenotrophomonas maltophilia (6 eyes) was the second most common gram-negative bacteria cause of total bacterial endophthalmitis while Pseudomonas aeruginosa (14 eyes) was the most common gram-negative bacteria cause during the same period. Visual disturbance was the dominant symptom being found in all 6 patients. Other symptoms include ocular pain and hypopyon. The initial visual acuity was light perception (1 patient), hand motion (3 patients), finger count (1 patient), and 0.02 (1 patient). Excluding the 1 patient with light perception, the mean initial visual acuity was logMAR 1.72 (Snellen equivalent; 20/1,049). Overall, 5 patients underwent vitrectomy and intravitreal antibiotics injection, while, the remaining other patient was treated with intravitreal antibiotics injection, followed by vitrectomy. All 6 patients showed sensitivity to Ceftazidime and Levofloxacin and 2 patients showed sensitivity to Trimethoprim/Sulfamethoxazole. CONCLUSIONS: Stenotrophomonas maltophilia endophthalmitis was the second most common gram negative organism to cause endophthalmitis after cataract surgery. All 6 of the tested isolates were found to be sensitive to ceftazidime and levofloxacin. Urgent treatment outcomes were similar to previous reports. |
| Key Words:
Endophthalmitis;Stenotrophomonas maltophilia |
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