Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes

Vincent D Venincasa, Ajay E Kuriyan, Harry W Flynn Jr, Jayanth Sridhar, Darlene Miller Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Purpose: To report the clinical findings, antibiotic sensitivities, and visual outc...

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Autores principales:	Venincasa VD, Kuriyan AE, Flynn Jr HW, Sridhar J, Miller D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/07ba8412d4084b97a1b873f0b3a5f4a0
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spelling	oai:doaj.org-article:07ba8412d4084b97a1b873f0b3a5f4a02021-12-02T03:01:42ZEndophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes1177-5483https://doaj.org/article/07ba8412d4084b97a1b873f0b3a5f4a02015-07-01T00:00:00Zhttp://www.dovepress.com/endophthalmitis-caused-by-pantoea-agglomerans-clinical-features-antibi-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Vincent D Venincasa, Ajay E Kuriyan, Harry W Flynn Jr, Jayanth Sridhar, Darlene Miller Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Purpose: To report the clinical findings, antibiotic sensitivities, and visual outcomes associated with endophthalmitis caused by Pantoea agglomerans.Methods: A consecutive case series of patients with vitreous culture-positive endophthalmitis caused by P. agglomerans from January 1, 1990 to December 31, 2012 at a large university referral center. Findings from the current study were compared to prior published studies.Results: Of the three study patients that were identified, clinical settings included trauma (n=2) and post-cataract surgery (n=1). Presenting visual acuity was hand motion or worse in all three cases. All isolates were sensitive to ceftazidime, gentamicin, imipenem, and fluoroquinolones. All isolates were resistant to ampicillin. Initial treatment strategies were vitreous tap and intravitreal antibiotic injection (n=1) and pars plana vitrectomy with intravitreal antibiotic injection (n=2). At last follow-up, one patient had no light perception vision, while the other two had best-corrected visual acuity of 20/200 and 20/400.Conclusion: All Pantoea isolates were sensitive to ceftazidime, gentamicin, imipenem, and fluoroquinolones. All patients in the current study received at least one intravitreal antibiotic to which P. agglomerans was shown to be sensitive in vitro. In spite of this, the visual outcomes were generally poor.Keywords: ocular infection, trauma, antibiotic resistanceVenincasa VDKuriyan AEFlynn Jr HWSridhar JMiller DDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1203-1207 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Venincasa VD Kuriyan AE Flynn Jr HW Sridhar J Miller D Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
description	Vincent D Venincasa, Ajay E Kuriyan, Harry W Flynn Jr, Jayanth Sridhar, Darlene Miller Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Purpose: To report the clinical findings, antibiotic sensitivities, and visual outcomes associated with endophthalmitis caused by Pantoea agglomerans.Methods: A consecutive case series of patients with vitreous culture-positive endophthalmitis caused by P. agglomerans from January 1, 1990 to December 31, 2012 at a large university referral center. Findings from the current study were compared to prior published studies.Results: Of the three study patients that were identified, clinical settings included trauma (n=2) and post-cataract surgery (n=1). Presenting visual acuity was hand motion or worse in all three cases. All isolates were sensitive to ceftazidime, gentamicin, imipenem, and fluoroquinolones. All isolates were resistant to ampicillin. Initial treatment strategies were vitreous tap and intravitreal antibiotic injection (n=1) and pars plana vitrectomy with intravitreal antibiotic injection (n=2). At last follow-up, one patient had no light perception vision, while the other two had best-corrected visual acuity of 20/200 and 20/400.Conclusion: All Pantoea isolates were sensitive to ceftazidime, gentamicin, imipenem, and fluoroquinolones. All patients in the current study received at least one intravitreal antibiotic to which P. agglomerans was shown to be sensitive in vitro. In spite of this, the visual outcomes were generally poor.Keywords: ocular infection, trauma, antibiotic resistance
format	article
author	Venincasa VD Kuriyan AE Flynn Jr HW Sridhar J Miller D
author_facet	Venincasa VD Kuriyan AE Flynn Jr HW Sridhar J Miller D
author_sort	Venincasa VD
title	Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
title_short	Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
title_full	Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
title_fullStr	Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
title_full_unstemmed	Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
title_sort	endophthalmitis caused by pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/07ba8412d4084b97a1b873f0b3a5f4a0
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_version_	1718401961004367872

Endophthalmitis caused by Pantoea agglomerans: clinical features, antibiotic sensitivities, and outcomes

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