Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure

Agrobacterium radiobacter is a Gram-negative bacillus and a rare cause of endophthalmitis. An 85-year-male presented with late-onset endophthalmitis associated with exposure of an inferonasal Baerveldt tube. The patient was initially treated with anterior chamber paracentesis and intravitreal antibi...

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Autores principales: Landon J. Rohowetz, Nimesh A. Patel, Ann V. Quan, Kenneth C. Fan, Nicolas A. Yannuzzi, Daniela P. Reyes-Capó, Diana Laura, Zubair A. Ansari, Umangi Patel, Sander R. Dubovy, Harry W. Flynn Jr.
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Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:10ab7ae12a9040e7be52a042e9a3da582021-12-02T12:40:23ZAgrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure1663-269910.1159/000516664https://doaj.org/article/10ab7ae12a9040e7be52a042e9a3da582021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/516664https://doaj.org/toc/1663-2699Agrobacterium radiobacter is a Gram-negative bacillus and a rare cause of endophthalmitis. An 85-year-male presented with late-onset endophthalmitis associated with exposure of an inferonasal Baerveldt tube. The patient was initially treated with anterior chamber paracentesis and intravitreal antibiotics. Aqueous humor culture revealed A. radiobacter resistant to cefazolin, ceftazidime, amikacin, tobramycin, and trimethoprim-sulfamethoxazole. Subsequently, the patient underwent explantation of the glaucoma drainage implant (GDI). After initial improvement, the patient had clinical worsening and was diagnosed with recurrence. Subsequent treatment involved explantation of the second GDI in addition to pars plana vitrectomy with silicone oil infusion, intraocular lens removal, and administration of intravitreal antibiotics. Visual acuity improved but remained at count fingers at 2 weeks. This is the first reported patient with A. radiobacter endophthalmitis associated with an exposed GDI. This report illustrates the resistant nature of this organism in addition to the efficacy of silicone oil administration and intraocular prosthesis explantation.Landon J. RohowetzNimesh A. PatelAnn V. QuanKenneth C. FanNicolas A. YannuzziDaniela P. Reyes-CapóDiana LauraZubair A. AnsariUmangi PatelSander R. DubovyHarry W. Flynn Jr.Karger Publishersarticleagrobacterium radiobacterendophthalmitisbaerveldt tubeOphthalmologyRE1-994ENCase Reports in Ophthalmology, Vol 12, Iss 3, Pp 921-926 (2021)
institution DOAJ
collection DOAJ
language EN
topic agrobacterium radiobacter
endophthalmitis
baerveldt tube
Ophthalmology
RE1-994
spellingShingle agrobacterium radiobacter
endophthalmitis
baerveldt tube
Ophthalmology
RE1-994
Landon J. Rohowetz
Nimesh A. Patel
Ann V. Quan
Kenneth C. Fan
Nicolas A. Yannuzzi
Daniela P. Reyes-Capó
Diana Laura
Zubair A. Ansari
Umangi Patel
Sander R. Dubovy
Harry W. Flynn Jr.
Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure
description Agrobacterium radiobacter is a Gram-negative bacillus and a rare cause of endophthalmitis. An 85-year-male presented with late-onset endophthalmitis associated with exposure of an inferonasal Baerveldt tube. The patient was initially treated with anterior chamber paracentesis and intravitreal antibiotics. Aqueous humor culture revealed A. radiobacter resistant to cefazolin, ceftazidime, amikacin, tobramycin, and trimethoprim-sulfamethoxazole. Subsequently, the patient underwent explantation of the glaucoma drainage implant (GDI). After initial improvement, the patient had clinical worsening and was diagnosed with recurrence. Subsequent treatment involved explantation of the second GDI in addition to pars plana vitrectomy with silicone oil infusion, intraocular lens removal, and administration of intravitreal antibiotics. Visual acuity improved but remained at count fingers at 2 weeks. This is the first reported patient with A. radiobacter endophthalmitis associated with an exposed GDI. This report illustrates the resistant nature of this organism in addition to the efficacy of silicone oil administration and intraocular prosthesis explantation.
format article
author Landon J. Rohowetz
Nimesh A. Patel
Ann V. Quan
Kenneth C. Fan
Nicolas A. Yannuzzi
Daniela P. Reyes-Capó
Diana Laura
Zubair A. Ansari
Umangi Patel
Sander R. Dubovy
Harry W. Flynn Jr.
author_facet Landon J. Rohowetz
Nimesh A. Patel
Ann V. Quan
Kenneth C. Fan
Nicolas A. Yannuzzi
Daniela P. Reyes-Capó
Diana Laura
Zubair A. Ansari
Umangi Patel
Sander R. Dubovy
Harry W. Flynn Jr.
author_sort Landon J. Rohowetz
title Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure
title_short Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure
title_full Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure
title_fullStr Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure
title_full_unstemmed Agrobacterium radiobacter Endophthalmitis Associated with Baerveldt Tube Exposure
title_sort agrobacterium radiobacter endophthalmitis associated with baerveldt tube exposure
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/10ab7ae12a9040e7be52a042e9a3da58
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