RT Journal Article
T1 First Report of Acute Postoperative Endophthalmitis Caused by Rothia Mucilaginosa after Phacoemulsification.
A1 Álvarez-Ramos, Pablo
A1 Del Moral-Ariza, Amparo
A1 Alonso-Maroto, José M
A1 Marín-Casanova, Pilar
A1 Calandria-Amigueti, José M
A1 Rodríguez-Iglesias, Manuel
A1 Rodríguez de la Rúa, Enrique
K1 Rothia mucilaginosa
K1 biofilm
K1 cataract
K1 endophthalmitis
K1 intraocular lens
K1 phacoemulsification
AB We aimed at reporting the first case of rapidly progressive acute postoperative endophthalmitis after phacoemulsification cataract surgery in an immunocompetent patient caused by Rothia mucilaginosa. An immunocompetent patient manifested endophthalmitis signs 48 hours after an uncomplicated cataract surgery by phacoemulsification. A bacteria of the family Micrococcaceae was cultured in the vitreous biopsy, namely R. mucilaginosa. The patient did not show a favorable clinical response after vitrectomy and systemic, intravitreal, and topical fortified antibiotics. The patient's eye was very painful, and consequently, it deemed necessary to perform an evisceration. R. mucilaginosa may be an aggressive etiologic agent for postoperative endophthalmitis. Although the isolated R. mucilaginosa was susceptible to empirical treatment, it was impossible to control the infection with standard treatment, probably due to its ability to create a biofilm around the intraocular lens.
SN 2036-7430
YR 2016
FD 2016-03-21
LK https://hdl.handle.net/10668/24754
UL https://hdl.handle.net/10668/24754
LA en
DS RISalud
RD Apr 14, 2025