Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii
Abstract
Purpose: To report clinical profile, etiology, management, outcomes and drug sensitivity in Acinetobacter baumannii cluster endophthalmitis.
Methods: Four post-surgical cases presented to a tertiary care hospital in eastern India 5 days after manual small incision cataract surgery - two were diabetic with unilateral panophthalmitis and no light perception and two had no systemic diseases, unilateral endophthalmitis with perception of light only. All cases underwent immediate core vitrectomy with intravitreal antibiotics followed by repeat intravitreal antibiotics and anterior chamber wash.
Results: A. baumannii sensitive to amikacin was isolated from vitreous in all cases. One patient achieved vision of 6/60, while one patient retained 1/60 vision with clear media and attached retina at final visit. Two eyes with panophthalmitis ended up with phthisis bulbi.
Conclusion: A. baumannii is a very rare cause of common source endophthalmitis with poor visual and anatomical outcomes. Prevention through rigorous pre-operative preparation cannot be overemphasized
Keywords
Supporting Institution
All India Institute of Medical Sciences, Patna
Ethical Statement
Consent of all patients has been taken for reporting their images and findings
Thanks
Department of Microbiology, AIIMS Patna; Dr Amit Raj, Head of the Department of Ophthalmology, AIIMS Patna
References
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Details
Primary Language
English
Subjects
Ophthalmology
Journal Section
Short Communication
Authors
Publication Date
December 31, 2024
Submission Date
April 25, 2024
Acceptance Date
December 30, 2024
Published in Issue
Year 2024 Volume: 6 Number: 1
APA
Nishant, P., Kumar, R., Sadhukhan, K., Nanda, J., & Sinha, S. (2024). Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii. Clinical and Experimental Ocular Trauma and Infection, 6(1), 6-10. https://izlik.org/JA29WE83JB
AMA
1.Nishant P, Kumar R, Sadhukhan K, Nanda J, Sinha S. Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii. CEOTI. 2024;6(1):6-10. https://izlik.org/JA29WE83JB
Chicago
Nishant, Prateek, Roshan Kumar, Kaushik Sadhukhan, Jayadev Nanda, and Sony Sinha. 2024. “Emerging Culprit of Post-Operative Cluster Endophthalmitis in Eastern India: Acinetobacter Baumannii”. Clinical and Experimental Ocular Trauma and Infection 6 (1): 6-10. https://izlik.org/JA29WE83JB.
EndNote
Nishant P, Kumar R, Sadhukhan K, Nanda J, Sinha S (December 1, 2024) Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii. Clinical and Experimental Ocular Trauma and Infection 6 1 6–10.
IEEE
[1]P. Nishant, R. Kumar, K. Sadhukhan, J. Nanda, and S. Sinha, “Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii”, CEOTI, vol. 6, no. 1, pp. 6–10, Dec. 2024, [Online]. Available: https://izlik.org/JA29WE83JB
ISNAD
Nishant, Prateek - Kumar, Roshan - Sadhukhan, Kaushik - Nanda, Jayadev - Sinha, Sony. “Emerging Culprit of Post-Operative Cluster Endophthalmitis in Eastern India: Acinetobacter Baumannii”. Clinical and Experimental Ocular Trauma and Infection 6/1 (December 1, 2024): 6-10. https://izlik.org/JA29WE83JB.
JAMA
1.Nishant P, Kumar R, Sadhukhan K, Nanda J, Sinha S. Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii. CEOTI. 2024;6:6–10.
MLA
Nishant, Prateek, et al. “Emerging Culprit of Post-Operative Cluster Endophthalmitis in Eastern India: Acinetobacter Baumannii”. Clinical and Experimental Ocular Trauma and Infection, vol. 6, no. 1, Dec. 2024, pp. 6-10, https://izlik.org/JA29WE83JB.
Vancouver
1.Prateek Nishant, Roshan Kumar, Kaushik Sadhukhan, Jayadev Nanda, Sony Sinha. Emerging culprit of post-operative cluster endophthalmitis in Eastern India: Acinetobacter baumannii. CEOTI [Internet]. 2024 Dec. 1;6(1):6-10. Available from: https://izlik.org/JA29WE83JB