John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Retin Cases Brief Rep. 2024 May 1;18(3):305-307. doi: 10.1097/ICB.0000000000001391.
To report a case of post-traumatic endophthalmitis secondary to Bacillus pumilus/safensis .
Observational case report of a single patient.
A 62-year-old man presented with a traumatic corneal laceration because of baling wire while working on a sheep farm. Appropriate corneal laceration repair with injection of intravitreal antibiotics (ceftazidime, clindamycin, and vancomycin) was performed. A single organism, identified as B. pumilus or Bacillus safensis, was isolated from the vitreous aspirate. A subsequent pars plana vitrectomy, pars plana lensectomy, anterior capsulotomy, and fluid-air exchange was required because of severe inflammatory reaction from retained lens material, retinal edema, and vitreous opacities. Vision improved from hand motion to 20/60 at the three-month follow-up visit.
We describe a case of acute post-traumatic endophthalmitis secondary to B. pumilus/safensis.
报告一例由短小芽孢杆菌/萨氏芽孢杆菌引起的创伤后眼内炎病例。
对单一患者进行观察性病例报告。
一名 62 岁男性在绵羊养殖场工作时因打包带受伤导致角膜裂伤。进行了适当的角膜裂伤修复，并注射了玻璃体腔内抗生素（头孢他啶、克林霉素和万古霉素）。从玻璃体液吸出物中分离出单一的细菌，鉴定为短小芽孢杆菌或萨氏芽孢杆菌。由于残留晶状体物质、视网膜水肿和玻璃体混浊引起的严重炎症反应，需要进行玻璃体切割术、晶状体切除术、前囊切开术和液-气交换术。在三个月的随访时，视力从手动提高到 20/60。
我们描述了一例由短小芽孢杆菌/萨氏芽孢杆菌引起的急性创伤后眼内炎病例。
