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Endogenous Ochrobactrum anthropi endophthalmitis

A J Berman1, L V Del Priore, C K Fischer

  • 1Barnes Retina Institute, Washington University School of Medicine, St Louis, MO 63110, USA.

American Journal of Ophthalmology
|April 1, 1997
PubMed
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Ochrobactrum anthropi caused severe eye infections (endophthalmitis) in a patient with a central venous catheter. Prompt treatment with antibiotics led to significant recovery, highlighting the importance of considering this pathogen in similar cases.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Endogenous endophthalmitis is a serious intraocular infection.
  • Central venous catheters are common in patients requiring long-term intravenous therapy.
  • Ochrobactrum anthropi is an opportunistic pathogen.

Observation:

  • A case of bilateral endogenous endophthalmitis is presented.
  • The patient was partially immunosuppressed and had a history of central venous access.
  • Ochrobactrum anthropi was identified as the causative agent.

Findings:

  • Blood cultures confirmed O anthropi bacteremia.
  • Vitreous cultures isolated a gram-variable bacillus consistent with O anthropi.
  • Intravitreal antibiotics and systemic ciprofloxacin resulted in marked clinical improvement.

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Implications:

  • Ochrobactrum anthropi can cause endogenous endophthalmitis.
  • Indwelling catheters and medical devices are potential risk factors.
  • Early diagnosis and appropriate antimicrobial therapy are crucial for favorable outcomes.