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TitleAcute Post Operative Endophthalmitis with Multidrug-resistant Pseudomonas aeruginosa
PurposeTo report a difficult case of post operative endophthalmitis caused by multidrug-resistant (MDR) Pseudomonas aeruginosa.
MethodsDiagnosis was based on history taking with ophthalmology examination, ultrasonography (USG), laboratory and microbiology testing.
ResultsA 65 year woman came with chief complain sudden blurred vision and pain on her right eye, 1 day post cataract surgery. Previously, the patient had experienced improved vision then suddenly became worse. Visual acuity was light perception, conjunctival and pericorneal injection, with corneal thinning and melting were found on ophthalmology examination. Medium-high spike echodence in vitreous was seen in USG examination. Patient was given intravitreal vancomycin-ceftazidime 1mg/2,25mg injection twice, topical levofloxacin and cefazoline fortified, also intravenous ciprofloxacin for 5 days, but there was no improvement. On the fifth day, the vitreous tap culture showed MDR pseudomonas aeruginosa. The therapy was changed to topical vancomycin fortified. Despite all the therapy had been given, the clinical condition remained poor and the visual acuity became no light perception.
ConclusionMicrobiology culture is needed to determine causal microorganism and therapy of acute post operative endophthalmitis. One of the microorganisms is MDR pseudomonas aeruginosa, a fulminant pathogen, with bad prognosis.
Conflict of interestNo
Authors 1
Initials of first name(s)A P
DepartmentDepartment of Ophthalmology, Universitas Brawijaya
Authors 2
Last nameAldina
Initials of first name(s)R
DepartmentDepartment of Ophthalmology, Universitas Brawijaya