Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery

Jun Yeon Won,1 Moosang Kim21Department of Otolaryngology, School of Medicine, Kangwon National University, Chuncheon, Korea; 2Department of Ophthalmology, School of Medicine, Kangwon National University, Chuncheon, KoreaAbstract: We report a case of acute postoperative endophthalmitis caused by vanc...

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Autores principales:	Won JY, Kim M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/aba6704115d34b51827457c48836f9cf
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spelling	oai:doaj.org-article:aba6704115d34b51827457c48836f9cf2021-12-02T06:12:51ZVancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery1177-54671177-5483https://doaj.org/article/aba6704115d34b51827457c48836f9cf2013-06-01T00:00:00Zhttp://www.dovepress.com/vancomycin-resistant-staphylococcus-hominis-endophthalmitis-following--a13351https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Jun Yeon Won,1 Moosang Kim21Department of Otolaryngology, School of Medicine, Kangwon National University, Chuncheon, Korea; 2Department of Ophthalmology, School of Medicine, Kangwon National University, Chuncheon, KoreaAbstract: We report a case of acute postoperative endophthalmitis caused by vancomycin-resistant Staphylococcus hominis, treated at our hospital. An 80-year-old male presented 2 days after uncomplicated phacoemulsification and posterior chamber intraocular lens implantation, with a 24-hour history of progressive visual loss and redness in the operated (right) eye. On examination, best corrected visual acuity was counting fingers. Anterior segment examination revealed conjunctival injection, chemosis, corneal edema, and hypopyon. B-scan ultrasonography showed vitreous opacification, but no retinal detachment. Acute postoperative endophthalmitis was diagnosed. We performed vitrectomy with vancomycin in the irrigating solution, intraocular lens removal, and silicone oil tamponade. Culture of the vitreous grew Staphylococcus hominis. Antibiotic susceptibility testing showed the isolate was sensitive to trimethoprim/sulfamethoxazole and teicoplanin but resistant to ciprofloxacin, moxifloxacin, levofloxacin, cefazolin, and vancomycin. At 3 months, the visual acuity of the silicone oil-treated eye was 20/400.Keywords: endophthalmitis, Staphylococcus hominis, vancomycinWon JYKim MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1193-1195 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Won JY Kim M Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery
description	Jun Yeon Won,1 Moosang Kim21Department of Otolaryngology, School of Medicine, Kangwon National University, Chuncheon, Korea; 2Department of Ophthalmology, School of Medicine, Kangwon National University, Chuncheon, KoreaAbstract: We report a case of acute postoperative endophthalmitis caused by vancomycin-resistant Staphylococcus hominis, treated at our hospital. An 80-year-old male presented 2 days after uncomplicated phacoemulsification and posterior chamber intraocular lens implantation, with a 24-hour history of progressive visual loss and redness in the operated (right) eye. On examination, best corrected visual acuity was counting fingers. Anterior segment examination revealed conjunctival injection, chemosis, corneal edema, and hypopyon. B-scan ultrasonography showed vitreous opacification, but no retinal detachment. Acute postoperative endophthalmitis was diagnosed. We performed vitrectomy with vancomycin in the irrigating solution, intraocular lens removal, and silicone oil tamponade. Culture of the vitreous grew Staphylococcus hominis. Antibiotic susceptibility testing showed the isolate was sensitive to trimethoprim/sulfamethoxazole and teicoplanin but resistant to ciprofloxacin, moxifloxacin, levofloxacin, cefazolin, and vancomycin. At 3 months, the visual acuity of the silicone oil-treated eye was 20/400.Keywords: endophthalmitis, Staphylococcus hominis, vancomycin
format	article
author	Won JY Kim M
author_facet	Won JY Kim M
author_sort	Won JY
title	Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery
title_short	Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery
title_full	Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery
title_fullStr	Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery
title_full_unstemmed	Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery
title_sort	vancomycin-resistant staphylococcus hominis endophthalmitis following cataract surgery
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/aba6704115d34b51827457c48836f9cf
work_keys_str_mv	AT wonjy vancomycinresistantstaphylococcushominisendophthalmitisfollowingcataractsurgery AT kimm vancomycinresistantstaphylococcushominisendophthalmitisfollowingcataractsurgery
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Vancomycin-resistant Staphylococcus hominis endophthalmitis following cataract surgery

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