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January 1989

Rhodococcus equi Endophthalmitis

Arch Ophthalmol. 1989;107(1):20. doi:10.1001/archopht.1989.01070010022012

To the Editor.  Rhodococcus (Corynebacterium) equi is a gram-positive, aerobic bacillus that is a common pathogen in animals. Until a few years ago, to our knowledge, no cases of human infection had been reported. Recently, human infestation has been seen in immunocompromised patients, presenting primarily with pulmonary manifestations. We wish to report the first case of ocular involvement in a patient who developed a fulminant endophthalmitis after penetrating injury with an intraocular foreign body.

Report of a Case.  —A healthy 29-year-old man was striking a valve on his car with a metal hammer when he felt something strike his left eye. He presented to his local emergency room where ophthalmologic examination revealed a visual acuity of 20/20 OD and 20/100 OS. The remainder of the examination of the right eye yielded normal results. The left eye had a 1-mm full-thickness corneal laceration at the 3-o'clock position near the limbus.

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