1. Infectious scleritis after pars plana vitrectomy because of methicillin-resistant Staphylococcus aureus resistant to fourth-generation fluoroquinolones.
- Author
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Feiz V and Redline DE
- Subjects
- Aged, Anti-Inflammatory Agents therapeutic use, Drug Resistance, Multiple, Bacterial, Drug Therapy, Combination, Erythromycin therapeutic use, Eye Infections, Bacterial drug therapy, Eye Infections, Bacterial pathology, Follow-Up Studies, Humans, Male, Scleritis drug therapy, Scleritis pathology, Staphylococcal Infections drug therapy, Staphylococcal Infections microbiology, Staphylococcus aureus drug effects, Surgical Wound Infection drug therapy, Surgical Wound Infection etiology, Surgical Wound Infection pathology, Vancomycin therapeutic use, Eye Infections, Bacterial etiology, Fluoroquinolones adverse effects, Methicillin Resistance, Scleritis etiology, Staphylococcal Infections etiology, Staphylococcus aureus isolation & purification, Vitrectomy adverse effects
- Abstract
Purpose: To describe a case of infectious scleritis caused by methicillin-resistant Staphylococcus aureus (MRSA) after pars plana vitrectomy despite treatment with topical fourth-generation fluoroquinolones., Methods: Single interventional case report., Results: A 72-year-old man presented with scleral thinning and subconjunctival abscess 1 month after pars plana vitrectomy. Microbiological studies including cultures and antibiotic sensitivity were performed. Culture of the scleral abscess showed growth of MRSA resistant to fourth-generation fluoroquinolones and sensitive to vancomycin and erythromycin. Treatment with a combination of topical vancomycin and systemic erythromycin for 6 weeks resolved the infectious scleritis., Conclusions: MRSA can be a cause of infectious scleritis after ocular surgery without a clear source despite surgical prophylaxis with topical fourth-generation fluoroquinolones.
- Published
- 2007
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