Exogenous endophthalmitis caused by Enterococcus casseliflavus:A case report

作     者：Qing-Dong Bao Tai-Xiang Liu Meng Xie Xiang Tian 

作者机构：Department of Ophthalmology Affiliated Hospital of Zunyi Medical University 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2019年第7卷第22期

页      面：3904-3911页

核心收录：

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

基　　金：Supported by National Natural Science Foundation of China No.81660169 

主　　题：Vancomycin-resistant Enterococci Enterococcus casseliflavusendophthalmitis Treatment Case report 

摘      要：BACKGROUND Endophthalmitis caused by Enterococci is rare,and cases involving vancomycinresistant enterococci are even *** report the first case of Enterococcus casseliflavus endophthalmitis associated with injury caused by a *** also review reported cases of exogenous endophthalmitis caused by Enterococcus casseliflavus and discuss the clinical management and prognosis of this *** SUMMARY A 43-year-old man with no previous visual problems complained of endophthalmitis in his left eye following injury caused by a *** acuity was light perception and B-ultrasonography revealed vitreous opacities with retinal *** was treated with intravitreal vancomycin and ceftazidime after refusing ***,the vitreous opacities and retinal detachment deteriorated and he underwent vitrectomy 5 d ***,advanced rhegmatogenous and tractional retinal detachment with proliferative vitreoretinopathy were *** postoperative day 5,vitreous cultures grew Gram-positive cocci identified as Enterococcus casseliflavus.A 2-wk course of intravenous ampicillin and dexamethasone was *** postoperative day 14,visual acuity improved to hand *** 6 mo post-injury,visual acuity improved to 20/667,but optic atrophy was *** Systemic administration of linezolid in the treatment of Enterococcus casseliflavus endophthalmitis can improve visual ***,intravitreal amikacin should be considered despite concerns of toxicity when oral linezolid fails to prompt improvement.