Annals of Tropical Medicine and Public Health
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Year : 2016  |  Volume : 9  |  Issue : 5  |  Page : 344-346

Fulminant course with dismal outcomes in cases of Bacillus cereus endophthalmitis

Department of Ophthalmology, St John's Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Sujani Shroff
Department of Ophthalmology, St John's Medical College, Bengaluru - 560 034, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.190190

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Bacillus cereus (B. cereus) endophthalmitis is a serious and rare ocular infection. Infection with B. cereus needs to be suspected in penetrating injuries sustained with retention of intraocular foreign bodies (IOFBs) and in agricultural settings. Additionally, it can be a cause of endogenous endophthalmitis in intravenous (IV) drug abusers and in dialysis patients. It is characterized by acute onset and a rapid fulminant course, often leading to enucleation or evisceration of the involved eye. Intravitreal and IV vancomycin has good coverage against B. cereus. Though associated with poor outcomes, high index of suspicion with early initiation of treatment might improve prognosis. Case reports of two patients with fulminating B. cereus endophthalmitis treated in our hospital in the last 1 year are reported.

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