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Multidrug-resistant Pseudomonas aeruginosa endophthalmitis in a silicone oil-filled eye treated with piperacillin/tazobactam: report of a case and review of literature

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Abstract

The incidence of endophthalmitis after pars plana vitrectomy is low. Silicone oil is a tamponading agent which has anti-microbial activity. Post-operative endophthalmitis following vitrectomy with silicone oil tamponade has been rarely reported. We describe the case of a young male who underwent pars plana vitrectomy with silicone oil for retinal detachment with a giant retinal tear. He developed a clinical picture suggestive of endophthalmitis on the first post-operative day, and vitreous culture grew multidrug-resistant Pseudomonas aeruginosa. He was treated with intravitreal piperacillin/tazobactam, along with appropriate surgical management. This was followed by resolution of the infection with a remarkable improvement in visual acuity. This is the first case of multidrug-resistant Pseudomonas aeruginosa endophthalmitis following pars plana vitrectomy with silicone oil treated successfully with piperacillin/tazobactam.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Author notes

  1. Neha Goel

    Present address: ICARE Eye Hospital and Postgraduate Institute, Noida, Uttar Pradesh, India

Authors and Affiliations

  1. 57, Sadar Apartments, Mayur Vihar Phase 1 Extension, New Delhi, 110091, India

    Neha Goel

  2. Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India

    Vishaal Bhambhwani & Basudeb Ghosh

Authors
  1. Neha Goel
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  2. Vishaal Bhambhwani
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  3. Basudeb Ghosh
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Correspondence to Neha Goel.

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Goel, N., Bhambhwani, V. & Ghosh, B. Multidrug-resistant Pseudomonas aeruginosa endophthalmitis in a silicone oil-filled eye treated with piperacillin/tazobactam: report of a case and review of literature. Int Ophthalmol 35, 599–602 (2015). https://doi.org/10.1007/s10792-015-0072-8

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  • DOI: https://doi.org/10.1007/s10792-015-0072-8

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