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Infectious Disease Reports
Volume 8
Issue 1
10.4081/idr.2016.6320
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Case Report

First Report of Acute Postoperative Endophthalmitis Caused by Rothia Mucilaginosa after Phacoemulsification

by
Pablo Álvarez-Ramos
1,
Amparo Del Moral-Ariza
1,
José M. Alonso-Maroto
1,
Pilar Marín-Casanova
2,
José M. Calandria-Amigueti
1,
Manuel Rodríguez-Iglesias
2 and
Enrique Rodríguez de la Rúa
1,3,*
1
Ophthalmology Unit, University Hospital Puerta del Mar, Cádiz, Spain
2
Microbiology Unit, University Hospital Puerta del Mar, Cádiz, Spain
3
Ophthalmology Unit, University Hospitals Virgen Macarena y Virgen del Rocío, Sevilla, Spain
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2016, 8(1), 6320; https://doi.org/10.4081/idr.2016.6320
Submission received: 24 November 2015 / Revised: 24 November 2015 / Accepted: 25 January 2016 / Published: 21 March 2016

Abstract

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.
Keywords: Rothia mucilaginosa; endophthalmitis; phacoemulsification; cataract; biofilm; intraocular lens Rothia mucilaginosa; endophthalmitis; phacoemulsification; cataract; biofilm; intraocular lens

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MDPI and ACS Style

Álvarez-Ramos, P.; Del Moral-Ariza, A.; Alonso-Maroto, J.M.; Marín-Casanova, P.; Calandria-Amigueti, J.M.; Rodríguez-Iglesias, M.; Rodríguez de la Rúa, E. First Report of Acute Postoperative Endophthalmitis Caused by Rothia Mucilaginosa after Phacoemulsification. Infect. Dis. Rep. 2016, 8, 6320. https://doi.org/10.4081/idr.2016.6320

AMA Style

Álvarez-Ramos P, Del Moral-Ariza A, Alonso-Maroto JM, Marín-Casanova P, Calandria-Amigueti JM, Rodríguez-Iglesias M, Rodríguez de la Rúa E. First Report of Acute Postoperative Endophthalmitis Caused by Rothia Mucilaginosa after Phacoemulsification. Infectious Disease Reports. 2016; 8(1):6320. https://doi.org/10.4081/idr.2016.6320

Chicago/Turabian Style

Álvarez-Ramos, Pablo, Amparo Del Moral-Ariza, José M. Alonso-Maroto, Pilar Marín-Casanova, José M. Calandria-Amigueti, Manuel Rodríguez-Iglesias, and Enrique Rodríguez de la Rúa. 2016. "First Report of Acute Postoperative Endophthalmitis Caused by Rothia Mucilaginosa after Phacoemulsification" Infectious Disease Reports 8, no. 1: 6320. https://doi.org/10.4081/idr.2016.6320

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