Postpartum Endogenous Panophthalmitis Caused by Sphingomonas Paucimobilis

Volume: 40 Number: 0 October 9, 2015
Ebru Esen , Altan Özcan , Firas Şimşek , İsmail Ündar
EN TR

Postpartum Endogenous Panophthalmitis Caused by Sphingomonas Paucimobilis

Abstract

We present a very rare case of endogenous panophthalmitis in a postpartum patient. A 31-year-old woman was admitted with vision loss and pain in the right eye for two days that began the day after the delivery. Her ophthalmologic examination revealed panophthalmitis and she was hospitalized for treatment and investigation. Despite intensive medication corneal melting and spontaneous perforation occurred, so evisceration had to be performed. Sphingomonas paucimobilis, an opportunistic infection agent, was isolated in the conjunctival swab and evisceration specimen cultures of the patient. It is known that immune system is influenced and inflammatory responses are altered in pregnants and puerperants, so any symptom of eye infection should not be ignored in peripartum and puerperium periods.

Keywords

Panophthalmitis; Sphingomonas paucimobilis; postpartum

References

  1. Cantrill HL, Rodman WP , Ramsay RC, Knobloch WH. Postpartum Candida endophthalmitis. JAMA. 1980;243:1163-5.
  2. Guex-Crosier Y, Chave JP, Herbort CP. Postpartum Candida endophthalmitis treated with fluconazole. Ophthalmologica. 1993;206:214-5.
  3. Tsai CC, Chen SJ, Chung YM, Yu KW, Hsu WM. Postpartum endogenous Candida 8. Seo SW, Chung IY, Kim E, Park JM. A case of endophthalmitis. J Formos Med Assoc. 2002;101:432-6.
  4. Sahu C, Kumar K, Sinha MK, Venkata A, Majji AB, Jalali S. Review of endogenous 9. Adams WE, Habib M, Berrington A, Koerner R, endophthalmitis during pregnancy including case series. Int Ophthalmol. 2013;33:611-8.
  5. Rahman W, Hanson R, Westcott M. A rare case of peripartum endogenous bacterial 10. Robinson DP, Klein SL. Pregnancy and endophthalmitis. Int Ophthalmol. 2011;31:113- 5.
  6. Kriet MM, Bouya Y, Louaya S. Endogenous postpartum panophthalmitis induced by sphingomonas paucimobili. Bull Soc Belge Ophtalmol. 2011;318:37-40.