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.

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