Open AccessEndophthalmitis due to Delftia acidovorans: An unusual ocular pathogen
Author(s) -
Amit Kumar Deb,
Pratima Chavhan,
Sushmita Sana Chowdhury,
Sujatha Sistla,
Radha Sugumaran,
Gayathri Panicker
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_373_20
Subject(s) - medicine , vitrectomy , endophthalmitis , epiretinal membrane , retinal vasculitis , ophthalmology , keratitis , cataract surgery , surgery , visual acuity , pathology , vasculitis , disease
Endophthalmitis is a dreaded postoperative complication of cataract surgery. Delftia acidovorans is usually nonpathogenic and an unusual ocular pathogen. Isolated reports of delftia-associated sepsis, otitis media, endocarditis, keratitis, etc. exist in literature. We report a rare and unique case of delftia-related endophthalmitis in a 67-year-old male diagnosed 2 weeks after uneventful cataract surgery. He was treated successfully with core vitrectomy and intravitreal antibiotics. Microbiological evaluation of vitreous sample identified the causative organism as Delftia acidovorans. Post-vitrectomy fundus evaluation at 1 week revealed the presence of retinal vascular sheathing and sclerosis along with few retinal hemorrhages. Final visual recovery was poor due to the presence of macular edema, epiretinal membrane, and temporal disc pallor.