Abstract
Background:
Aeromonas sobria causes a rare Gram-negative bacterial water-borne infection. It has been found in waters of North Queensland and South-east Asia. Of all Aeromonas species, A. sobria is the most virulent and invasive and has been reported to cause soft tissue infection and corneal ulcer.
Methods:
A 14-year-old Caucasian male from North Queensland presented following a penetrating eye injury in which a water bird (cormorant species) had pecked his eye while he was fishing. A fulminant endophthalmitis developed despite treatment with intravenous, intravitreal and topical antibiotics and initial wound repair. Enucleation was performed.
Results:
Aeromonas sobria was isolated from the vitreous aspirate.
Conclusion:
Aeromonas sobria infection should be suspected in water-contaminated penetrating eye injuries. The prognosis in this case was poor.
MeSH terms
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Adolescent
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Aeromonas / isolation & purification*
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Animals
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Anterior Chamber / injuries
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Anterior Chamber / microbiology
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Anterior Chamber / pathology
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Anti-Bacterial Agents
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Birds
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Cataract / etiology
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Cornea / pathology
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Corneal Injuries
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Drug Administration Routes
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Drug Therapy, Combination / administration & dosage
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Drug Therapy, Combination / therapeutic use
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Endophthalmitis / microbiology*
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Endophthalmitis / pathology
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Endophthalmitis / therapy
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Eye Enucleation
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Eye Infections, Bacterial / etiology*
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Eye Infections, Bacterial / pathology
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Eye Infections, Bacterial / therapy
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Eye Injuries, Penetrating / microbiology*
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Eye Injuries, Penetrating / pathology
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Eye Injuries, Penetrating / therapy
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Follow-Up Studies
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Gram-Negative Bacterial Infections / etiology*
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Gram-Negative Bacterial Infections / pathology
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Gram-Negative Bacterial Infections / therapy
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Humans
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Iris / injuries
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Iris / pathology
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Male
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Vitreous Body / microbiology