Skip to main content

CASE REPORT article

Front. Med.
Sec. Ophthalmology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1406277

Case report: Emerging species in post-traumatic endophthalmitis: Acinetobacter johnsonii

Provisionally accepted
Jiezhong Hu Jiezhong Hu 1Chunling Huang Chunling Huang 2Jingyi Li Jingyi Li 2Caixia Fang Caixia Fang 1Songfu Feng Songfu Feng 2*Jiali Li Jiali Li 2*
  • 1 Houjie Hospital of Dongguan, Dongguan, China
  • 2 Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, China

The final, formatted version of the article will be published soon.

    Acinetobacter johnsoniiis an uncommon cause of endophthalmitis. This case report describes a 40year-old male admitted with pain, redness, and vision loss in his right eye after an open globe injury by a steel fragment. Clinical assessment confirmed post-traumatic endophthalmitis with an intraocular foreign body. The patient underwent a vitreous biopsy, lensectomy, vitrectomy, and intravitreal antibiotics, followed by laser photocoagulation and foreign body extraction via the pars plana. Acinetobacter johnsonii was isolated from the vitreous culture. A combination of vancomycin, levofloxacin and ceftazidime was administered, leading to reduced infection and inflammation. Postoperatively at one month, the patients' best-corrected visual acuity had improved to 20/63. The anterior segment exhibited no inflammation, the vitreous cavity was clear, and the retina with hemorrhage and laser treatment remained stable. The one-year follow-up confirmed the continued stability of the ocular condition. Acinetobacter johnsonii, a rare cause of endophthalmitis often linked to trauma or surgery, should be recognized as a possible pathogen in post-traumatic endophthalmitis cases, meriting clinical consideration.

    Keywords: Endophthalmitis, Acinetobacter johnsonii, Pathogen identification, Open globe injury, antibiotic susceptibility 1

    Received: 08 Apr 2024; Accepted: 23 Jul 2024.

    Copyright: © 2024 Hu, Huang, Li, Fang, Feng and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Songfu Feng, Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
    Jiali Li, Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.