Pasteurella multocida endophthalmitis: case report and review of the literature

N P Dang Burgener1, E Baglivo, S Harbarth

  • 1Clinique d'Ophtalmologie, Hôpitaux Universitaires de Genève, Geneva, Switzerland.

Klinische Monatsblatter Fur Augenheilkunde
|March 24, 2005
PubMed
Abstract

Insights

Postoperative bacterial endophthalmitis from Pasteurella multocida (PM) is rare but serious. This case highlights the poor prognosis and need for physician awareness of pet exposure in endophthalmitis diagnosis.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Postoperative endophthalmitis is typically caused by endogenous flora (80%).
  • Pasteurella multocida (PM), a Gram-negative coccobacillus from pets, is rarely implicated in endophthalmitis.

Observation:

  • A case of endophthalmitis developed post-cataract surgery.
  • Conjunctival and aqueous humor cultures confirmed PM infection.

Findings:

  • Treatment included topical, intravitreous, and intravenous antibiotics.
  • Despite treatment, the outcome was unfavorable, leading to corneal perforation.

Implications:

  • Prognosis for PM endophthalmitis remains poor, even with treatment.
  • Physicians should consider pet exposure as a potential cause in endophthalmitis cases.