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Posttraumatic Bacillus cereus Endophthalmitis
Gary B. Schemmer, MD;
William T. Driebe, Jr, MD
Arch Ophthalmol. 1987;105(3):342-344.
Abstract
We encountered a patient who developed Bacillus cereus endophthalmitis following trauma. Early therapy, which included intravitreal clindamycin phosphate and gentamicin sulfate, resulted in a visual acuity of 20/60. A five-year retrospective review of all cases of endophthalmitis following trauma reported at our institution revealed Bacillus as the infecting organism in six (46%) of 13 culture-positive cases. The high frequency of virulent Bacillus infections in the setting of trauma necessitates the use of antibiotics that are active against this organism in posttraumatic endophthalmitis. The combination of clindamycin and gentamicin can be effective therapy in Bacillus species infections if used early in the course of the disease.
Author Affiliations
From the Department of Ophthalmology, University of Florida College of Medicine, Gainesville.
Footnotes
Accepted for publication Oct 16, 1986.
Reprint requests to the Department of Ophthalmology, University of Florida College of Medicine, Box J-284, JHMHC, Gainesville, FL 32610 (Dr Driebe).
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