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Xanthomonas maltophilia Endophthalmitis After Cataract Surgery
Arch Ophthalmol. 2000;118:572-575.
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Xanthomonas maltophilia, previously known as Pseudomonas maltophilia and Stenotrophomonas maltophilia, is a gram-negative motile bacillus that can be isolated from human, animal, and environmental sources.1 It may cause potentially life-threatening opportunistic systemic infections.1-2 Most isolates demonstrate multidrug resistance, making it a highly virulent organism. Postoperative endophthalmitis caused by X maltophilia is rare. To date, only 2 case reports have been published.3-4 We describe 4 additional patients with postoperative X maltophilia endophthalmitis treated between January 1, 1996, and March 31, 1999, at the Bascom Palmer Eye Institute, Miami, Fla (Table 1).
Table appears in full text version.
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Table 1. Treatment Outcomes of Xanthomonas maltophilia Endophthalmitis*
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Report of Cases
Case 1
An 80-year-old woman was evaluated for increasing pain and decreased vision in the left eye, 2 weeks after uneventful clear-corneal phacoemulsification and posterior chamber intraocular lens (IOL) insertion. Her medical history was unremarkable. Visual acuity in the affected eye was hand movements. Clinical findings included a 5% hypopyon . . . [Full Text of this Article] Case 2 Case 3 Case 4 Comment
Corresponding author: Harry W. Flynn, Jr, MD, Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL 33136 (e-mail: hflynn@miami.med.edu).
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