Exogenous endophthalmitis caused by Enterococcus casseliflavus: A case report

Table 1 Summary of the findings in previously published cases of exogenous Enterococcus casseliflavus endophthalmitis

NO.	Author/Yr	Age/Sex	Cause of injury	Time interval between injury and symptoms	Eye	Visual acuity	Presenting feature	Time interval between injury and vitrectomy	Treatment	Laboratory diagnosis	Disease progression	Outcome
1	Khurana et al[2], 2009	37/M	A horse tail injury	24 h	Left	PL	+2 conjunctival chemosis, +2 corneal edema, intact corneal epithelium, 1-mm hypopyon, dense vitritis	24 h	Vitrectomy; Intravitreal hydrochloride and ceftazidime	Vitreous; cultures	On post-operative day 7: The patient’s pain and anterior segment inflammation resolved. On post-operative day 21: Cataract and vitreous debris. On post-operative day 56: Vitrectomy; Retinal detachment with proliferative vitreoretinopathy	PL
2	Berenger et al[3], 2015	6/M	High-velocity water stream trauma	2 h	Left	Not reported	Intact corneal epithelium, severe anterior chamber inflammation, miosis and inferior hypopyon, vitreous opacities	26 h	Vitrectomy; Intravitreal hydrochloride and ceftazidime; Topical therapy: moxifloxacin, prednisolone, homatropine; Ciprofloxacin (PO); Vancomycin (IV)	Mass spectrometry	On post-operative min 45: Vitrectomy; Intravitreal ampicillin and amikacin; Topical therapy: gentamicin and prednisolone; ampicillin, linezolid (IV). On post-operative day 7: Outer cortical vitreous separation. Over time, the vitreous cavity and anterior segment cleared	20/70
3	Nguyen et al[4], 2017	6/M	An object projected from a lawn mower	Immediately	Left	HM	2 + conjunctival chemosis, chemosis temporally, irregular iris, 4 + anterior chamber cells,1 mm layered hypopyon, 1.5 mm hyphema	27 h	Vitrectomy; Intravitreal hydrochloride and ceftazidime; Subconjunctival injection: dexamethasone; Topical therapy: atropine, prednisolone acetate and moxifloxacin; Cephalexin (PO)	Vitreous cultures	On post-operative day 5: Topical therapy: tobramycin and linezolid;Linezolid (PO); On post-operative day 17: Vitrectomy; Intravitreal amikacin; On post-operative day 77: Phacoemulsification with intraocular lens placement and maculasparing retinal detachment	20/40
4	Low et al[5], 2015	54/M	Metallic intraocular foreign body	Immediately	Left	HM	Conjunctival chemosis, corneal edema, inferonasal corneoscleral laceration with iris prolapse. The anterior chamber was shallow with a fibrinous reaction, 1.6-mm hypopyon	72 h	Vitrectomy; Intravitreal vancomycin and ceftazidime; Topical therapy: cefazolin, gentamicin, and atropine		Amoxicillin, linezolid, gentamicin (IV), amoxicillin (PO)	6/90
5	Present case	47/M		6 h	Left	PL	+2 conjunctival chemosis, +2 corneal edema, intact corneal epithelium, 2-mm hypopyon, vitreous opacities, retinal detachment	120 h	Vitrectomy; Intravitreal hydrochloride and ceftazidime; Topical therapy: Tobramycin, dexamethasone, atropine, gatifloxacin, pranoprofen, dexamethasone (IV)	Vitreous cultures	Intravenous dexamethasone (IV); On post-operative day 2: optic atrophy	20/667

Only cultures that grew identifiable organisms are mentioned here. IV: Intravenous; PO: Per Os/oral administration; PL: Perception of light; HM: Hand movement.