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Related Experiment Videos

Postoperative Serratia marcescens endophthalmitis.

D H Johnson1, N C Klein, B A Cunha

  • 1Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501.

Heart & Lung : the Journal of Critical Care
|May 1, 1992
PubMed
Summary

Postoperative endophthalmitis, a severe complication of eye surgery, can be caused by unusual pathogens. This case highlights Serratia marcescens as a cause of endophthalmitis in a healthy patient.

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Postgraduate medicine·2016

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Endophthalmitis is a rare but severe complication following ophthalmic surgery.
  • Clinical signs include conjunctival erythema, lid edema, eye pain, and decreased visual acuity.
  • Accurate diagnosis necessitates invasive culture techniques, as external eye cultures do not reflect intraocular pathogens.

Observation:

  • The most frequent causative agents of postoperative endophthalmitis are staphylococci and streptococci.
  • Less common causes include gram-negative aerobic bacilli and fungi.
  • This report details a case of Serratia marcescens endophthalmitis in an immunocompetent individual.

Findings:

  • Serratia marcescens, a gram-negative bacillus, was identified as the causative organism.

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  • The patient was a normal host, indicating no predisposing immune deficiencies.
  • This presentation underscores the potential for diverse microbial agents to cause postoperative endophthalmitis.
  • Implications:

    • Highlights the importance of considering a broader range of pathogens, including gram-negative bacilli like Serratia marcescens, in postoperative endophthalmitis.
    • Emphasizes the need for prompt and accurate microbiological diagnosis through intraocular cultures.
    • Informs clinical management strategies for this sight-threatening condition.