First Author: M.Bhende INDIA
Co Author(s): A. Karpe S. Arunachalam L. Therese 0 0 0 0 0 0 0 0 0
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To describe , for the first time, the isolation and identification of roseomonas mucosa from a subretinal abscess in presumed endogenous endophthalmitis and the successful management of the same.
Tertiary referral vitreoretinal center in South India
An elderly diabetic male developed endogenous endophthalmitis and a large subretinal abscess during hospitalization for management of urinary tract infection and septicaemia due to klebsiella species, confirmed on both blood and urine cultures. The patient underwent vitreous surgery with a retinotomy to drain the subretinal abscess followed by endolaser , silicone oil tamponade and intravitreal ceftazidime. Aqueous, vitreous and subretinal abscess samples were evaluated for microorganisms
The subretinal pus yielded a rare organism roseomonas mucosae which was confirmed by PCR based DNA sequencing. Drainage of the entire abscess followed by intravitreal ceftazidime , endolaser and silicone oil tamponade , along with oral ciprofloxacin resulted in control of infection with a quiet eye and vision improved from hand movements to 3/60 at 2 months followup.
To the best of our knowledge, this is the first report of isolation of roseomonas mucosa from a subretinal abscess . This case, where the blood and urine cultures grew a different organism, from the subretinal abscess also demonstrates the importance of evaluating the ocular specimen as well in a case of endogenous infection.