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Endophthalmitis caused by Propionibacterium acnes
Abstract:
We treated a man who developed endopthalmitis six weeks after a seemingly minor injury. Cultures were positive for Propionibacterium acnes, an anerobic, Gram-positive rod that is a normal inhabitant of the conjunctiva but is rarely a cause of endophthalmitis. The patient underwent vitrectomy and lensectomy with intravitreal injection of antibiotics followed by systemic cephalothin and prednisone. Clinical and visual improvement was rapid.
Insights
A rare case of endophthalmitis caused by Propionibacterium acnes, a common conjunctival bacterium, was successfully treated. Prompt intervention with vitrectomy, antibiotics, and anti-inflammatory medication led to rapid visual recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Endophthalmitis is a severe intraocular infection often leading to vision loss.
- Propionibacterium acnes is a commensal bacterium of the conjunctiva, rarely implicated in endophthalmitis.
Observation:
- A patient presented with endophthalmitis six weeks post-ocular injury.
- Cultures revealed the presence of Propionibacterium acnes.
Findings:
- The patient underwent surgical intervention (vitrectomy and lensectomy).
- Treatment included intravitreal antibiotics, systemic cephalothin, and prednisone.
- Rapid clinical and visual improvement was observed post-treatment.
Implications:
- This case highlights the potential for P. acnes to cause endophthalmitis, even after minor trauma.
- Effective management involves prompt surgical and antimicrobial therapy.
- Early diagnosis and treatment are crucial for favorable visual outcomes in P. acnes endophthalmitis.