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  Vol. 125 No. 9, September 2007 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Postoperative Vancomycin-Resistant Enterococcus faecium Endophthalmitis

Harshivinderjit S. Bains, MD, PhD; David V. Weinberg, MD; Robert S. Feder, MD; Gary A. Noskin, MD

Arch Ophthalmol. 2007;125(9):1292-1293.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Enterococci are normal flora in the human gastrointestinal tract. They are intrinsically resistant to many antibiotic agents and may acquire resistance to almost all available antibiotics, including vancomycin. Vancomycin-resistant enterococci (VRE) have emerged as serious nosocomial pathogens. More than 28% of enterococcal infections in US intensive care units are resistant to vancomycin and many more patients become colonized than infected with these organisms.1 Despite the increasing incidence of infection with this organism, ophthalmologic infections are rare. We report the first case, to our knowledge, of postoperative VRE endophthalmitis. The infection occurred as a result of colonized donor corneal tissue.

Report of a Case

A 73-year-old woman with a history of Fuchs dystrophy underwent penetrating keratoplasty. On the first postoperative morning, she reported eye pain. Visual acuity was light perception. There was moderate conjunctival hyperemia. Fibrin and a . . . [Full Text of this Article]


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