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Clostridium perfringens Endophthalmitis Following Cataract Surgery
Arch Ophthalmol. 1999;117:970-971.
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Clostridium perfringens, an anaerobic gram-positive bacillus, is an infrequent pathogen in endophthalmitis, causing rapid destruction of ocular tissues. It typically develops after penetrating injury with soil-contaminated foreign bodies1 or, less commonly, endogenously,2-3 usually in an immunocompromised patient. To our knowledge, there are no previously reported cases of clostridial endophthalmitis following intraocular procedures. We present a case of C perfringens endophthalmitis after cataract surgery in a patient who was later diagnosed with metastatic cancer.
Report of a Case
A 78-year-old white man underwent an uncomplicated extracapsular cataract extraction of his left eye with a posterior chamber intraocular lens implant and subconjunctival injections of gentamicin and dexamethasone. His medical history was significant only for hypertension, and review of systems was negative for weight loss, malaise, pain, and other potential signs and symptoms of chronic or malignant disease. On postoperative day 1, the patient had a visual acuity of light perception OS and severe ocular discomfort. . . . [Full Text of this Article] Reprints: Diane P. Romsaitong, MD, Department of Ophthalmology, Catholic Medical Centers of Brooklyn and Queens, 158-40 79th Ave, Fourth Floor, Flushing, NY 11366 (e-mail: romsaitong@aol.com).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Clostridial Endophthalmitis After Cornea Transplantation--Florida, 2003
JAMA 2004;291:293-295.
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