1/8. Chronic postoperative endophthalmitis due to pseudomonas oryzihabitans.PURPOSE: To report a case of chronic postoperative endophthalmitis caused by the gram-negative bacterium Pseudomonas oryzihabitans.DESIGN: Interventional case report.methods: A 77-year-old man was referred to our service for nonpainful uveitis in the right eye accompanied by increased intraocular pressure of 2 years' duration with onset 4 months after uncomplicated extracapsular cataract extraction and posterior chamber intraocular lens implantation. The uveitis partially responded to topical corticosteroid therapy but was recurrent with tapering of steroids. An anterior chamber tap and vitreous biopsies sent for cultures were negative. Owing to the persistence of inflammation despite intraocular vancomycin injection, the lens implant and capsule were removed and culture of the latter revealed the bacterium P. oryzihabitans.RESULTS: There was no recurrence of inflammation after removal of the lens implant and capsule.CONCLUSIONS: Unlike other gram-negative organisms, which are associated with poor outcomes, P. oryzihabitans may masquerade as chronic uveitis because of its low virulence.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/8. Subpalpebral lavage antibiotic treatment for severe infectious scleritis and keratitis.OBJECTIVE: To report the subpalpebral lavage therapy for the treatment of infectious scleritis and keratitis. METHOD: Six patients were admitted for treatment of severe infectious scleritis and keratitis and were initiated on the subpalpebral lavage system after showing no improvement with topical fortified antibiotics. A continuous antibiotic lavage was applied until clinical sterility was achieved and topical steroids were gradually added to control concomitant inflammation. RESULTS: All 6 patients had resolution of their infections and achieved a stable ocular surface with no inflammation. One patient required a corneal transplant for active inflammation and corneal thinning, 1 had a transplant for a dense central corneal scar, and 1 patient underwent corneal transplant and cataract extraction. One case was a Pseudomonas keratitis in a blind eye, which rapidly resolved and has remained stable. Four patients required additional surgeries, which included 3 corneal transplants, 2 cataract extractions, and 1 glaucoma aqueous shunt. CONCLUSION: Continuous irrigation of the eye can improve scleral penetration of antibiotics. Subpalpebral lavage provides continuous irrigation and may be effective in the treatment of infectious scleritis of a variety of etiologies.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
3/8. cavernous sinus thrombosis following odontogenic and cervicofacial infection.cavernous sinus thrombosis (CST) is rarely seen clinically as a complication of infectious processes since the discovery of penicillin. At the present time, dental abscess is an uncommon cause of CST. We now report our experiences with a 60-year-old diabetic male, who developed CST 38 days after extraction of an infected upper third molar tooth. The importance of eradicating regional cervicofacial foci of infection is stressed.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/8. Multiple scleral abscesses with recurrent bacterial endophthalmitis eight months following cataract surgery.Scleral involvement in association with endophthalmitis is unusual. We report a case of recurrent bacterial endophthalmitis and multiple scleral abscesses occurring 8 months following cataract extraction. culture of pus from scleral abscesses first grew pseudomonas aeruginosa; and klebsiella pneumoniae on recurrence. The patient responded to intensive topical and systemic antibiotic therapy and recovered visual acuity of 20/60.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
5/8. pseudomonas aeruginosa as a causative agent of cervical osteomyelitis. Case report and review of the literature.pseudomonas aeruginosa osteomyelitis and epidural abscess of the cervical spine developed in a previously healthy, 73-year-old man who was not an intravenous drug abuser. In the recent literature, Pseudomonas cervical osteomyelitis has been reported only in intravenous drug abusers or in otherwise healthy individuals after a tooth extraction. In the literature of the past 30 years, isolated cases of cervical osteomyelitis were associated with urinary tract infections. The majority of these cases involved urinary tract instrumentation. The pathogenesis remains controversial. It appears that spontaneous cervical osteomyelitis in a non-intravenous drug abuser has not been previously reported.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/8. Pseudomonas cepacia endophthalmitis.A 72-year-old white man who had undergone surgical trabeculectomy and extracapsular cataract extraction with a posterior-chamber lens implantation in the left eye suffered from chronic iridocyclitis for eight months. He subsequently presented with acute hypopyon and vitritis. Anterior-chamber and vitreous cultures were positive for Pseudomonas cepacia. The infection was successfully treated with subconjunctival piperacillin, intravitreal cefotaxime, and intravenous piperacillin and gentamicin. To our knowledge, this is the first documented case of Pseudomonas cepacia endophthalmitis.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
7/8. osteomyelitis of the cervical spine following dental extraction.osteomyelitis of the cervical spine developed in two children following dental extraction. A significant delay in diagnosis and treatment in both cases may have contributed to subsequent permanent spinal deformities. The possibility of cervical osteomyelitis must be considered in a child when severe neck pain develops following dental extraction.- - - - - - - - - - ranking = 6keywords = extraction (Clic here for more details about this article) |
8/8. Delayed-onset pseudomonas stutzeri endophthalmitis after uncomplicated cataract surgery.An 88-year-old woman had uneventful extracapsular cataract extraction with posterior chamber intraocular lens (IOL) implantation in her right eye. Seven weeks later, an anterior vitrectomy with removal of the IOL was performed because of endophthalmitis resistant to topical and systemic amoxicillin, cephalosporin, aminoglycoside, and steroids. Microbiological examination of the vitreous biopsy, capsule, and anterior chamber fluid disclosed pseudomonas stutzeri, gram-negative nonfermentative bacteria sensitive to tetracycline, ceftazidime, gentamicin, ofloxacin, and piperacillin. pseudomonas stutzeri should be considered in the treatment of delayed-onset endophthalmitis.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |