Gemella species-associated late-onset endophthalmitis after trabeculectomy with adjunctive mitomycin C.

Abstract:

PURPOSE:To report 2 cases of delayed-onset, bleb-related endophthalmitis induced by Gemella species. METHODS:Interventional case report. RESULTS:Two patients developed bleb-related ocular infection attributable to Gemella haemolysans and Gemella morbillorum after trabeculectomy with adjunctive mitomycin C. Both patients had thin-walled cystic filtering blebs before ocular infection. One patient underwent urgent vitrectomy with intravitreal injection of ceftazidime and vancomycin. The other received an intraocular injection of vancomycin and ceftazidime. After surgical intervention, 2 cases were administered topical levofloxacin and sulfobenzylpenicillin, and intravenous cefpirome. The DNA from the microorganism was sequenced and identified as G. haemolysans and G. morbillorum. CONCLUSIONS:Gemella species should be added to the long list of organisms that may rarely cause bleb-associated endophthalmitis.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Sawada A,Mochizuki K,Katada T,Kawakami H,Yamamoto T,Mikamo H,Watanabe K

doi

10.1097/IJG.0b013e31818c6f07

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

496-7

issue

6

eissn

1057-0829

issn

1536-481X

pii

00061198-200908000-00014

journal_volume

18

pub_type

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