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Ophthalmology
Endogenous endophthalmitis caused by Rothia dentocariosa
  1. Saarang Hansraj1,
  2. Abhishek Upadhyaya1,
  3. Sanchita Mitra2 and
  4. Navya Cherukuri1
  1. 1Smt Kannuri Santhamma Center for Vitreoretinal Diseases, Anant Bajaj Retina Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India
  2. 2Jhaveri Microbiology Centre, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, Telangana, India
  1. Correspondence to Dr Navya Cherukuri; navya.cherukuri{at}lvpei.org

Abstract

We report a case of a late adolescent female who presented to us with complaints of acute, painful loss of vision in her left eye. Her visual acuity (VA) had reduced to perception of hand movements within a week. Slit lamp examination and ultrasonography revealed that the patient had endophthalmitis. She was treated with intravitreal antibiotics, pars plana vitrectomy, lensectomy and a 5000 centistoke silicone oil injection. The vitreous biopsy showed significant growth of Rothia dentocariosa on blood and chocolate agars. An infected lower mandibular tooth was identified as the infective focus and treated. Systemic evaluation did not reveal any other infections. 1 month after the final procedure, she achieved a VA of 20/60 and IOP of 11 mm Hg. The retina was attached, and the infection had completely resolved. This case of atypical endogenous endophthalmitis was managed with timely surgery and using silicone oil injection and showed a good outcome.

  • Eye
  • Infections

https://doi.org/10.1136/bcr-2024-261849

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    Footnotes

    • Contributors The case was supervised, and the surgery was performed by NC. Details of the patient, history, and documentation and collection of figures were contributed by SH, SM and AU. Microbiology support was provided by SM. Corresponding author is the guarantor. The following authors were responsible for drafting the text, sourcing and editing the clinical images and investigation results, drawing original diagrams and algorithms, and critically revising important intellectual content: SH, SM, AU and NC. The following author gave the final approval of the manuscript: NC.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.