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Post-keratoplasty Endophthalmitis by Multidrug-resistant Pseudomonas Aeruginosa With Positive Culture of the Contralateral Donor Cornea: A Case Report.
Serna-Ojeda, J C; Pedro-Aguilar, L; Rodriguez-Quintanilla, C; Mejía-López, H; Ponce-Angulo, D G; Navas, A; Bautista-de Lucio, V M; Graue-Hernandez, E O.
Afiliación
  • Serna-Ojeda JC; Department of Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico; Banco de Ojos y Tejidos de Aguascalientes, Mexico. Electronic address: juanc.sernao@gmail.com.
  • Pedro-Aguilar L; Department of Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
  • Rodriguez-Quintanilla C; Department of Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
  • Mejía-López H; Department of Ocular Microbiology and Proteomics, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
  • Ponce-Angulo DG; Department of Ocular Microbiology and Proteomics, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
  • Navas A; Department of Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
  • Bautista-de Lucio VM; Department of Ocular Microbiology and Proteomics, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
  • Graue-Hernandez EO; Department of Cornea and Refractive Surgery, Instituto de Oftalmologia "Conde de Valenciana", Mexico City, Mexico.
Transplant Proc ; 50(3): 964-966, 2018 Apr.
Article en En | MEDLINE | ID: mdl-29555247
PURPOSE: The aim of this paper is to present the case report of a patient developing endophthalmitis after penetrating keratoplasty caused by a multidrug-resistant Pseudomonas aeruginosa, detected only in the contralateral donor tissue. CASE REPORT: A 77-year-old man underwent an uneventful penetrating keratoplasty with a preoperative culture-negative donor cornea; however, the fellow cornea grew multidrug-resistant Pseudomonas aeruginosa. The patient developed and was treated for endophthalmitis after penetrating keratoplasty, and aqueous and vitreous taps grew P. aeruginosa with antibiotic resistance identical to the isolate from the mate cornea. Sequence analysis of the 16S ribosomal gene from the two isolates and confirmation analyzing the sequence of P. aeruginosa heat shock protein gene (groES) were performed showing the same strain for both organisms. CONCLUSION: This case report documents the presence of the same multidrug-resistant P. aeruginosa causing endophthalmitis after penetrating keratoplasty and in the contralateral donor tissue, suggesting that we must be cautious in deciding to transplant tissues with positive culture in the contralateral donor cornea.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Pseudomonas aeruginosa / Infecciones por Pseudomonas / Endoftalmitis / Trasplante de Córnea Límite: Aged / Humans / Male Idioma: En Revista: Transplant Proc Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Pseudomonas aeruginosa / Infecciones por Pseudomonas / Endoftalmitis / Trasplante de Córnea Límite: Aged / Humans / Male Idioma: En Revista: Transplant Proc Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos