백내장 수술 후 서로 다른 임상 양상을 보인 스테노트로포모나스 말토필리아 안내염 2예

• 영문명: Two Different Cases of Stenotrophomonas Maltophilia Endophthalmitis after Cataract Surgery
• 발행기관: 대한안과학회
• 저자명: 정지원 강행구 진희승,Ji Won Jung, MD, Haeng Ku Kang, MD, Hee Seung Chin, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number1, 161~167쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.01.15

영문 초록

Purpose: To report 2 different cases of postoperative endophthalmitis caused by Stenotrophomonas maltophilia after cataract surgery. Case summary: A 73-year-old male with diabetes mellitus developed severe pain in the right eye 2 weeks after cataract surgery. The patient was hospitalized with a diagnosis of infectious endophthalmitis, and vitrectomy was performed. Cultures of aqueous humor and vitreous aspirate revealed S. maltophilia. On day 30 after vitrectomy, his visual acuity had improved to 20/20 and there were no recurrences. A 61-year-old female with no significant past medical history was referred for uveitis or delayed onset endophthalmitis 30 days after cataract surgery. An anterior chamber tapping and cultures were performed. S. maltophilia and Aspergillus fumigatus were isolated. The patient received antibiotics and antifungal agents and her visual acuity improved to 20/25. Conclusions: S. maltophilia has been considered a life-threatening systemic opportunistic infection; however, the organism has recently been reported as an exogenous pathogen of endophthalmitis following cataract surgery. Herein, 2 different cases of S. maltophilia endophthalmitis after cataract surgery are presented and compared with previous case reports. J Korean Ophthalmol Soc 2012;53(1):161-167

키워드

Aspergillus fumigatus, Coinfection, Postoperative endophthalmitis, Stenotrophomonas maltophilia