Chronic, recurrent bacterial endophthalmitis caused by achromobacter xylosoxidans: Clinical features and management

Thomas A. Lazzarini; Hasenin Al-Khersan; Nimesh A. Patel; Nicolas A. Yannuzzi; Jaime D. Martinez; Diego Altamirano; Lizt K. Torres; Darlene Miller; Juan F. Batlle; Guillermo Amescua; Harry W. Flynn

doi:10.2147/IMCRJ.S259899

Chronic, recurrent bacterial endophthalmitis caused by achromobacter xylosoxidans: Clinical features and management

Thomas A. Lazzarini, Hasenin Al-Khersan, Nimesh A. Patel, Nicolas A. Yannuzzi, Jaime D. Martinez, Diego Altamirano, Lizt K. Torres, Darlene Miller, Juan F. Batlle, Guillermo Amescua, Harry W. Flynn

Ophthalmology

Research output: Contribution to journal › Article

Abstract

A 79-year-old man presented to a tertiary referral center from the Dominican Republic with an opaque corneal graft and a diagnosis of chronic, recurrent culture-positive Achromobacter xylosoxidans endophthalmitis of the left eye. The patient had a history of penetrating keratoplasty for Fuchs’ dystrophy and had undergone multiple intraocular surgeries including pars plana vitrectomy and anterior chamber wash out for the diagnosis and management of chronic endophthalmitis. After being referred, the patient underwent a third PKP, removal of his intraocular lens (IOL), capsulectomy, and injection of intravitreal antibiotics. All surgical specimens demonstrated the growth of A. xylosoxidans. Five months after surgery, the graft remained clear without evidence of infection and best-corrected visual acuity was 20/350.

Original language	English (US)
Pages (from-to)	265-269
Number of pages	5
Journal	International Medical Case Reports Journal
Volume	13
DOIs	https://doi.org/10.2147/IMCRJ.S259899
State	Published - 2020

Keywords

Achromobacter xylosoxidans
Endophthalmitis
Ophthalmic infection
Ophthalmlology
Postoperative endophthalmitis

ASJC Scopus subject areas

Medicine(all)

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10.2147/IMCRJ.S259899

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Lazzarini, T. A., Al-Khersan, H., Patel, N. A., Yannuzzi, N. A., Martinez, J. D., Altamirano, D., Torres, L. K., Miller, D., Batlle, J. F., Amescua, G., & Flynn, H. W. (2020). Chronic, recurrent bacterial endophthalmitis caused by achromobacter xylosoxidans: Clinical features and management. International Medical Case Reports Journal, 13, 265-269. https://doi.org/10.2147/IMCRJ.S259899

Chronic, recurrent bacterial endophthalmitis caused by achromobacter xylosoxidans : Clinical features and management. / Lazzarini, Thomas A.; Al-Khersan, Hasenin; Patel, Nimesh A.; Yannuzzi, Nicolas A.; Martinez, Jaime D.; Altamirano, Diego; Torres, Lizt K.; Miller, Darlene; Batlle, Juan F.; Amescua, Guillermo ; Flynn, Harry W.

In: International Medical Case Reports Journal, Vol. 13, 2020, p. 265-269.

Research output: Contribution to journal › Article

Lazzarini, TA, Al-Khersan, H, Patel, NA, Yannuzzi, NA, Martinez, JD, Altamirano, D, Torres, LK, Miller, D, Batlle, JF, Amescua, G & Flynn, HW 2020, 'Chronic, recurrent bacterial endophthalmitis caused by achromobacter xylosoxidans: Clinical features and management', International Medical Case Reports Journal, vol. 13, pp. 265-269. https://doi.org/10.2147/IMCRJ.S259899

Lazzarini, Thomas A. ; Al-Khersan, Hasenin ; Patel, Nimesh A. ; Yannuzzi, Nicolas A. ; Martinez, Jaime D. ; Altamirano, Diego ; Torres, Lizt K. ; Miller, Darlene ; Batlle, Juan F. ; Amescua, Guillermo ; Flynn, Harry W. / Chronic, recurrent bacterial endophthalmitis caused by achromobacter xylosoxidans : Clinical features and management. In: International Medical Case Reports Journal. 2020 ; Vol. 13. pp. 265-269.

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abstract = "A 79-year-old man presented to a tertiary referral center from the Dominican Republic with an opaque corneal graft and a diagnosis of chronic, recurrent culture-positive Achromobacter xylosoxidans endophthalmitis of the left eye. The patient had a history of penetrating keratoplasty for Fuchs{\textquoteright} dystrophy and had undergone multiple intraocular surgeries including pars plana vitrectomy and anterior chamber wash out for the diagnosis and management of chronic endophthalmitis. After being referred, the patient underwent a third PKP, removal of his intraocular lens (IOL), capsulectomy, and injection of intravitreal antibiotics. All surgical specimens demonstrated the growth of A. xylosoxidans. Five months after surgery, the graft remained clear without evidence of infection and best-corrected visual acuity was 20/350.",

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