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Endophthalmitis Caused by Abiotrophia Defectiva after Anterior Vitrectomy in a Child
Helio V Neves da Silva1, Anna Mackin1, Jesse Smith1
1Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Insights
This is the first reported case of endophthalmitis caused by Abiotrophia defectiva in a child. Advanced diagnostic methods like 16S rDNA PCR and MALDI-TOF will increase detection of this rare infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Endophthalmitis is a serious intraocular infection.
- Abiotrophia defectiva is a rare cause of endophthalmitis, with no prior pediatric cases reported.
Observation:
- A 12-year-old female developed endophthalmitis following penetrating keratoplasty, open globe injury repair, and anterior vitrectomy.
- The causative agent was identified as Abiotrophia defectiva.
Findings:
- This case represents the first documented instance of Abiotrophia defectiva-induced endophthalmitis in a pediatric patient.
- Review of existing literature on Abiotrophia defectiva endophthalmitis was conducted.
Implications:
- The study highlights the importance of considering Abiotrophia defectiva in pediatric endophthalmitis cases.
- Increased utilization of 16S rDNA PCR and MALDI-TOF mass spectrometry is expected to improve the diagnosis of Abiotrophia defectiva infections.
Abstract:
Endophthalmitis caused by Abiotrophia defectiva has never before been reported in a child. We report a case of a 12-year-old female with a history of penetrating keratoplasty, followed years later by open globe injury and repair, and subsequent anterior vitrectomy, which resulted in endophthalmitis caused by Abiotrophia defectiva. We review previous cases of endophthalmitis by this organism and argue that its detection will become more common with the use of 16S rDNA PCR and MALDI-TOF mass spectrometry.
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