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Post-traumatic endophthalmitis caused by Streptococcus parauberis: First human case report
K Zaman1, A Thakur2, V L Sree1
1Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian Journal of Medical Microbiology
|August 13, 2016
Summary
A rare bacterial infection, Streptococcus parauberis, caused post-traumatic endophthalmitis after a wooden stick eye injury. Prompt treatment with antibiotics successfully managed this unique case of infectious endophthalmitis.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Post-traumatic endophthalmitis is a severe ocular infection following eye trauma.
- Prompt diagnosis and treatment are crucial to prevent vision loss.
Observation:
- A 12-year-old boy sustained a full-thickness corneal laceration from a wooden stick injury.
- Ocular examination revealed a cataractous lens behind the corneal laceration.
Findings:
- Intravitreal vancomycin, ceftazidime, and clindamycin were administered following corneal laceration repair.
- Vitreous culture identified Streptococcus parauberis, a rare cause of endophthalmitis.
- The isolate demonstrated sensitivity to amoxicillin, erythromycin, and vancomycin, with topical vancomycin used for treatment.
Implications:
- This case highlights Streptococcus parauberis as a potential pathogen in post-traumatic endophthalmitis.
- Effective management involves prompt surgical repair, broad-spectrum intravitreal antibiotics, and targeted therapy based on culture results.
- Early recognition and treatment are vital for favorable visual outcomes in such rare infections.
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