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Endophthalmitis caused by Mycobacterium houstonense: case report
Xin Che1, Qingjian Li1, Luoziyi Wang1
1Department of Ophthalmology, Huashan Hospital of Fudan University, No. 12, Middle Urumqi Road, Shanghai, 200040, China.
BMC Infectious Diseases
|November 17, 2020
Summary
Mycobacterium houstonense, a rapidly growing mycobacteria (RGM), caused a severe eye infection after glaucoma drainage implant surgery. Prompt diagnosis and treatment are crucial to prevent vision loss from RGM infections.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Mycobacterium houstonense is a rapidly growing mycobacteria (RGM) species within the M. fortuitum group.
- Human infections associated with M. houstonense are rare globally.
Observation:
- A case of delayed-onset postoperative endophthalmitis caused by M. houstonense is presented.
- The infection occurred after glaucoma drainage implant (GDI) surgery.
- The patient experienced a 2-month ocular infection leading to endophthalmitis and subsequent emergency enucleation.
Findings:
- Delayed diagnosis and treatment of ocular infection can result in irreversible damage.
- Implant erosion may contribute to the development of severe ocular infections.
Implications:
- Ophthalmologists must maintain a high index of suspicion for ocular RGM infections.
- Prompt laboratory identification and effective multidrug therapy are essential for preventing vision loss in cases of ocular RGM infection.
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