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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 11  |  Page : 2591-2594

Endophthalmitis due to Delftia acidovorans: An unusual ocular pathogen


1 Department of Ophthalmology, JIPMER Hospital, Puducherry, India
2 Department of Microbiology, JIPMER Hospital, Puducherry, India

Correspondence Address:
Dr. Amit K Deb
Assistant Professor, Department of Ophthalmology, Old IPD Block First Floor, JIPMER Hospital, Gorimedu, Puducherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_373_20

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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.


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