Department of Ocular Microbiology, LV Prasad Eye Institute, Bhubaneswar, India.
Anant Bajaj Retina Institute, LV Prasad Eye Institute, Bhubaneswar, India.
Ocul Immunol Inflamm. 2023 Sep;31(7):1548-1550. doi: 10.1080/09273948.2022.2118135. Epub 2022 Sep 9.
A 55-year-old lady with bamboo stick injury to her right eye suffered corneal laceration with retained wooden foreign body in the anterior chamber. In the first-sitting corneal laceration repair, lens aspiration with foreign body removal was done. Two days later, she developed signs and symptoms of endophthalmitis for which pars plana vitrectomy with intravitreal antibiotic injection was done. Smear examination of vitreous sample revealed the presence of Gram-positive cocci in pairs and short chains on Gram's stain on the same day. Confluent white, moist, and alpha-hemolyticus bacterial colonies appeared over the inoculum on blood agar and chocolate plates on the next day, which later was identified as by VITEK-2 compact system. To our knowledge, this is the second reported case of -related endophthalmitis; the outcome was favourable in the incumbent case owing to an early intervention and isolate being susceptible to vancomycin.
一位 55 岁女性因右眼被竹棍刺伤而导致角膜裂伤，伴有前房内残留的木质异物。在首次就诊时进行了角膜裂伤修复，同时进行了晶状体抽吸和异物取出。两天后，她出现了眼内炎的症状和体征，因此进行了玻璃体切割术联合眼内抗生素注射。当天的玻璃体样本涂片检查显示革兰氏染色阳性双球菌和短链。第二天，在血琼脂和巧克力平板上的接种物上出现了融合的白色、湿润和α-溶血性细菌菌落，随后通过 VITEK-2 紧凑型系统鉴定为 。据我们所知，这是第二例与 相关的眼内炎病例；由于早期干预和分离物对万古霉素敏感，本例的结果是有利的。
