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Pasteurella multocida endophthalmitis: case report and review of the literature

Dang Burgener, N. P.
Sahabo, C.
Published in Klinische Monatsblätter für Augenheilkunde. 2005, vol. 222, no. 3, p. 231-233
Abstract BACKGROUND: Postoperative bacterial endophthalmitis is caused by the patient's endogenous flora in most cases (80 %). Pasteurella multocida (PM) is a Gram-negative coccobacillus found in the upper respiratory tract of dogs and cats and is very rarely implicated in postoperative endophthalmitis. HISTORY AND SIGNS: We describe a case of PM endophthalmitis that developed after cataract surgery. THERAPY AND OUTCOME: Cultures of both the conjunctiva and the aqueous humor were positive for PM. Topical, intravitreous and intravenous antibiotics were administered. Despite treatment, the outcome was unfavourable and complicated by a corneal perforation. CONCLUSIONS: The prognosis of postoperative PM endophthalmitis remains poor, despite adequate treatment of the infection. A history of recent pet exposure should alert physicians to this possible aetiological factor.
Keywords AgedAged, 80 and overAqueous HumorBacteriological TechniquesCeftazidime/administration & dosageConjunctiva/microbiologyCornea/pathologyDrug Therapy, Combination/administration & dosageEndophthalmitis/ diagnosisHumansInfusions, IntravenousInjectionsMaleNecrosisOphthalmic SolutionsPasteurella Infections/ diagnosisPasteurella multocidaPhacoemulsificationPostoperative Complications/ diagnosisVancomycin/administration & dosageVitreous Body
PMID: 15785987
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Research groups Groupe Harbarth Stephan (Staphylocoques dorés résistants à la méthicilline) (866)
Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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DANG BURGENER, N. P. et al. Pasteurella multocida endophthalmitis: case report and review of the literature. In: Klinische Monatsblätter für Augenheilkunde, 2005, vol. 222, n° 3, p. 231-233. https://archive-ouverte.unige.ch/unige:9305

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Deposited on : 2010-07-12

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