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Journal of Clinical Microbiology, May 1999, p. 1564-1566, Vol. 37, No. 5
Clinical Laboratories,
Received 20 October 1998/Returned for modification 22 November
1998/Accepted 15 January 1999
Microorganisms of the genus Abiotrophia, members of the
oral flora, are known as important causes of bacterial
endocarditis. In this study, we report two individual cases of
acute vitreous infection caused by Abiotrophia adiacens and
Abiotrophia defectiva approximately a week after cataract
extraction. Abiotrophia isolates were recovered by
cultivation of vitreous humor on chocolate agar and identified via
conventional and API 20 Strep identification systems. An 83-year-old
male patient (A) and an 80-year-old female patient (B) demonstrated
almost identical symptoms of infectious endophthalmitis manifested as
hypopyon and opaque media. The vision of both patients was reduced
to detection of hand motion in the left and the right eyes,
respectively. An emergency pars plana core vitrectomy was performed,
and intraocular antibiotics were administered to each patient, who
presented 8 months apart in two different institutions. Patients A and
B were treated with an intravitreal injection of vancomycin-amikacin
and vancomycin-ceftazidime, respectively, which resulted in complete recovery.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Abiotrophia Species as a Cause of
Endophthalmitis Following Cataract Extraction
*
Corresponding author. Mailing address: Clinical
Laboratories, Inc., 901 Keystone Industrial Park, Throop, PA
18512-1534. Phone: (570) 346-1759. Fax: (570) 941-3588. E-mail:
hnamdari{at}clinical.com.
Journal of Clinical Microbiology, May 1999, p. 1564-1566, Vol. 37, No. 5
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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