Initial Presentation of Cutibacterium

The authors report a case of an 81-year-old female who presented with sudden onset of light perception vision and intraocular inflammation. After several months of continuing symptoms despite antibiotics, an aqueous tap culture grew Cutibacterium acnes. The patient had cataract surgery 21 years prio...

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Bibliographic Details
Published inOphthalmic surgery, lasers & imaging retina Vol. 52; no. 1; p. 44
Main Authors Finn, Avni P, Fekrat, Sharon, Ma, Justin P, Robbins, Cason B, Vajzovic, Lejla, Feng, Henry L
Format Journal Article
LanguageEnglish
Published Slack, Inc 01.01.2021
Subjects
Acne
Antibiotics
Cataract
Diagnosis
Endophthalmitis
Surgery
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Summary:The authors report a case of an 81-year-old female who presented with sudden onset of light perception vision and intraocular inflammation. After several months of continuing symptoms despite antibiotics, an aqueous tap culture grew Cutibacterium acnes. The patient had cataract surgery 21 years prior, and had no intervening trauma, intraocular procedure, or endogenous source. The presumed diagnosis was C. acnes endophthalmitis with significantly delayed onset. Capsulectomy and intraocular lens removal resolved the patient's symptoms. In rare cases, C. acnes endophthalmitis may present as recurrent inflammation despite an extremely remote history of cataract surgery, mimicking a virulent, acute-onset endophthalmitis despite antibiotic administration. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:44-46.]
ISSN:2325-8160