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August 1990

Postoperative Propionibacterium granulosum Endophthalmitis

Author Affiliations

Columbus, Ohio

Arch Ophthalmol. 1990;108(8):1073-1074. doi:10.1001/archopht.1990.01070100029015

There has been growing recognition of an indolent form of anaerobic endophthalmitis occurring after extracapsular cataract extraction caused by Propionibacterium acnes. There have been 16 cases of this entity reported in the literature and all but 1 have been due to P acnes (the species was not identified in the sole remaining case).1 To our knowledge, this is the first report of a P acnes-type endophthalmitis caused by the related organism, Propionibacterium granulosum, indicating that the ability to produce this unique clinical syndrome is not limited to P acnes.

Report of a Case.  —A 79-year-old white woman was referred for evaluation of a chronically inflamed right eye. Extracapsular cataract extraction with placement of a posterior chamber intraocular lens in the right eye had been performed 11 months prior to her presentation. Initially, she did well following the surgery, but 6 weeks postoperatively she developed considerable inflammation and underwent

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