We here in report a case of bilateral endogenous endophthalmitis caused by Pantoea agglomerans (P. agglomerans) in a patient who had interstitial lung disease and was treated with oral corticosteroids. A 72-year-old man presented with decreased visual acuity in both eyes nine days after he received oral corticosteroids. He had marked uveitis, cataracts, and vitreous opacities. Cultures were taken of blood, aqueous humor, and vitreous. We initially suspected a fungal etiology and treated him with antifungal drugs; however, the intraocular disease progressed without improvement. Vitreous culture was positive for P. agglomerans. The patient underwent pars plana vitrectomy with cataract surgery bilaterally, followed by a 2-week course of antibiotics. The final visual acuity was 20/25 in the right eye and 20/200 in the left eye. This is the first report of bilateral endogenous endophthalmitis caused by P. agglomerans in Korea; it is also the first case reported outside of the United States.
(Fig. 1B) 빛간섭단층촬영상 우안 황반부종 과 함께 감각신경망막층의 박리 소견이 관찰되었다 (Fig. 2).첫 방문 후 2번의 경과 관찰이 이루어졌으며, 수상 후 1 개월째 우안 최대 교정시력은 안전수지 50 cm이었으며, 안 저 검사상 황반부위에 광범위한 망막하 삼출물 소견과 망 막부종이 있었다 (Fig. 3A). 수상 3년 후 본원 마지막 내원 시 우안 최대 교정시력은 20/600으로 수상 직후에 비해 약 간의 호전이 있었으며, 안저검사상 황반부에 반흔 및 망막 색소상피의 탈색소 병변이 관찰되었다 (Fig. 3B).
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