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- Title
Bacillus circulans endophthalmitis.
- Authors
Tandon, Anita; Tay-Kearney, Mei-Ling; Metcalf, Cecily; McAllister, Ian
- Abstract
An 80-year-old woman presented with right endophthalmitis, characterized by chalky white deposits covering her posterior capsule. This occurred 17 months after uncomplicated right cataract surgery. A three-port pars plana vitrectomy and partial posterior capsulectomy isolated Bacillus circulans, and the patient made a rapid and full recovery on topical cephalothin and prednisolone acetate 1%.The case demonstrates that, unlike endophthalmitis due to other Bacillus spp., B. circulans endophthalmitis does not necessarily follow a fulminant course. It is the first report describing a subacute presentation, and response to posterior capsulectomy and simple antibiotic therapy. It is also the first description of B. circulans causing white plaques in the posterior capsule, a finding characteristic of chronic endophthalmitis and previously considered pathognomonic of Proprionibacterium acnes endophthalmitis.
- Subjects
EYE diseases; BACILLUS (Bacteria)
- Publication
Clinical & Experimental Ophthalmology, 2001, Vol 29, Issue 2, p92
- ISSN
1442-6404
- Publication type
Article
- DOI
10.1046/j.1442-9071.2001.d01-10.x