Capnocytophaga canimorsus endophthalmitis following cataract surgery

Clin Exp Ophthalmol. 2002 Oct;30(5):375-7. doi: 10.1046/j.1442-9071.2002.00561.x.

Abstract

An elderly man developed endophthalmitis 1 week after cataract extraction and lens implantation. Intraocular samples were collected and the patient received intravitreal vanco-mycin and ceftazidime, and topical tobramycin. A Gram stain of vitreous humour revealed spindle-shaped Gram-negative bacilli. He was then given systemic clindamycin and topical ofloxacin. Capnocytophaga canimorsus, a member of the oral flora of dogs and cats, was cultured after 3 days. The infection resolved leaving the patient with a visual acuity of 6/60. An attempt was made to culture the organism from the mouth of the patient's pet dog. This was unsuccessful and the source of the infection remains unknown.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Capnocytophaga / isolation & purification*
  • Ceftazidime / therapeutic use
  • Drug Therapy, Combination / therapeutic use
  • Endophthalmitis / diagnosis
  • Endophthalmitis / drug therapy
  • Endophthalmitis / microbiology*
  • Eye Infections, Bacterial* / diagnosis
  • Eye Infections, Bacterial* / drug therapy
  • Eye Infections, Bacterial* / etiology
  • Gram-Negative Bacterial Infections* / diagnosis
  • Gram-Negative Bacterial Infections* / drug therapy
  • Gram-Negative Bacterial Infections* / etiology
  • Humans
  • Lens Implantation, Intraocular
  • Male
  • Phacoemulsification / adverse effects*
  • Vancomycin / therapeutic use
  • Visual Acuity
  • Vitreous Body / microbiology

Substances

  • Vancomycin
  • Ceftazidime