Alcaligenes xylosoxidans endophthalmitis 8 months after cataract extraction

Swart, Jacob; Völker-Dieben, H. J. M.; Reichert-Thoen, J. W.

doi:10.1016/s0002-9394(98)00339-0

Cited by 17 publications

(10 citation statements)

References 4 publications

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“…[2, 20] Previous studies have also reported ocular infections by A. xylosoxidans in immunocompetent patients. [5, 8, 10, 12–13, 19] Cataract surgery was the only risk factor associated in the current study. Therefore, there were no known risk factors to distinguish between ocular infections with A. xylosoxidans versus other more common isolates.…”

Section: Discussionmentioning

confidence: 55%

Endophthalmitis Caused by Achromobacter Xylosoxidans After Cataract Surgery

Villegas

Emanuelli

Flynn

et al. 2014

Retina

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Purpose To report Achromobacter xylosoxidans as a cause of both acute-onset and delayed-onset postoperative endophthalmitis after cataract surgery. Methods A non-comparative, consecutive case series of patients with culture-proven A. xylosoxidans endophthalmitis between 1970 and 2012. Cataract surgery and intraocular lens placement were performed in all patients prior to endophthalmitis. Positive cultures were obtained from the vitreous, capsular bag, and/or the removed intraocular lens. Results The clinical diagnosis was confirmed in 4 patients with positive cultures. Two endophthalmitis patients had a preliminary culture report of Pseudomonas species. In addition to receiving intravitreal antibiotics, all patients underwent capsulectomy and intraocular lens removal at the time of pars plana vitrectomy. Visual acuity at last follow up was 20/40 or better in 2 of 4 (50%) but the remaining 2 patients were 20/200 or worse. Conclusion A. xylosoxidans may be a cause of acute, recurrent, and delayed-onset postoperative endophthalmitis after cataract surgery. Complete capsulectomy and intraocular lens removal can be considered in recurrent and recalcitrant patients.

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Section: Discussionmentioning

confidence: 55%

Endophthalmitis Caused by Achromobacter Xylosoxidans After Cataract Surgery

Villegas

Emanuelli

Flynn

et al. 2014

Retina

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“…Chronic A. xylosoxidans endophthalmitis most often occurs after cataract surgery 3 , 4 , 12 and has never been reported as a complication of infectious keratitis. The patient’s most recent ophthalmic surgery was penetrating keratoplasty, and his graft had remained clear for five months without evidence of infection, suggesting the infection was unlikely to be related to the surgery, though donor rim cultures were not available.…”

Section: Discussionmentioning

confidence: 99%

“…1 In light of his clinical course marked by recurrent endophthalmitis and a recent positive anterior chamber culture from the referring site, surgical management was elected to achieve definitive diagnosis and visual rehabilitation. Chronic A. xylosoxidans endophthalmitis most often occurs after cataract surgery 3,4,12 and has never been reported as a complication of infectious keratitis. The patient's most recent ophthalmic surgery was penetrating keratoplasty, and his graft had remained clear for five months without evidence of infection, suggesting the infection was unlikely to be related to the surgery, though donor rim cultures were not available.…”

Section: Discussionmentioning

confidence: 99%

<p>Chronic, Recurrent Bacterial Endophthalmitis Caused by <em>Achromobacter xylosoxidans</em>: Clinical Features and Management</p>

Lazzarini

Al-Khersan

Patel

et al. 2020

IMCRJ

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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.

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“…There are few reports of chronic postoperative endophthalmitis caused by A. xylosoxidans (3)(4)(5)(6)(7)(8) . Bacteria of the genus Alcaligenes are non-fermenting, gram-negative bacilli found in soil and water.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Alcaligenes xylosoxidans endophthalmitis: report of two cases

de-la-Torre¹,

López-Castillo²,

Bernal-Urrego³

et al. 2008

Arq. Bras. Oftalmol.

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We report two cases of postoperative Alcaligenes xylosoxidans endophthalmitis. A 78-year-old woman in good general health developed A. xylosoxidans endophthalmitis one month after an uncomplicated phacoemulsification procedure with posterior chamber intraocular lens. It was performed on her left eye, at another institution. Removal of the intraocular lens and capsule was performed because of recurrent inflammation after vitrectomy and intravitreal antibiotic injections. Her son, a 55-year-old man, developed A. xylosoxidans endophthalmitis in his left eye, two months after an uncomplicated phacoemulsification procedure with posterior chamber intraocular lens (it also was performed by the same surgeon). He also required vitrectomy with removal of the intraocular lens and capsule because of persistent disease. A. xyloso - xidans can cause chronic low-grade and progressive endophthalmitis after cataract extraction that is often resistant to corrective antibiotic therapy. This kind of case is rare. There have been only previously reported seven cases worldwide to the best of our knowledge.

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Alcaligenes xylosoxidans endophthalmitis 8 months after cataract extraction

Cited by 17 publications

References 4 publications

Endophthalmitis Caused by Achromobacter Xylosoxidans After Cataract Surgery

Endophthalmitis Caused by Achromobacter Xylosoxidans After Cataract Surgery

<p>Chronic, Recurrent Bacterial Endophthalmitis Caused by <em>Achromobacter xylosoxidans</em>: Clinical Features and Management</p>

Postoperative Alcaligenes xylosoxidans endophthalmitis: report of two cases

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