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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.

Abiotrophia Species as a Cause of Endophthalmitis Following Cataract Extraction

Hassan Namdari,1,2,3,* Kathleen Kintner,2 Barbara A. Jackson,3 Surena Namdari,1 Joan L. Hughes,1 Randall R. Peairs,3 and Donald J. Savage2

Clinical Laboratories, Inc., Throop,1 Mercy Hospital, Wilkes Barre,2 and Moses Taylor Hospital, Scranton,3 Pennsylvania

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.


* 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.



This article has been cited by other articles:

  • Christensen, J. J., Facklam, R. R. (2001). Granulicatella and Abiotrophia Species from Human Clinical Specimens. J. Clin. Microbiol. 39: 3520-3523 [Abstract] [Full Text]  
  • Poyart, C., Quesne, G., Acar, P., Berche, P., Trieu-Cuot, P. (2000). Characterization of the Tn916-like Transposon Tn3872 in a Strain of Abiotrophia defectiva (Streptococcus defectivus) Causing Sequential Episodes of Endocarditis in a Child. Antimicrob. Agents Chemother. 44: 790-793 [Abstract] [Full Text]