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September 1993

Posttraumatic Endophthalmitis Caused by Lactobacillus

Author Affiliations

Winston-Salem, NC

Arch Ophthalmol. 1993;111(9):1169. doi:10.1001/archopht.1993.01090090021008

Lactobacillus is a ubiquitous microaerophilic gram-positive rod that is generally considered nonpathogenic.1 To our knowledge, it has never been reported as an etiologic agent in ocular disease. Although its current role in disease states has been previously documented, it is more well known for its enhancement of flavor of dairy products. We recently treated a previously healthy patient with posttraumatic endophthalmitis caused by Lactobacillus.

Report of a Case.  A 31-year-old black male sanitation worker sustained a corneal laceration when a glass bottle shattered, impacting his right eye. On initial examination, his visual acuity was 20/400 OD and 20/20 OS. A 6-mm V-shaped limbal-scleral laceration was noted at the 7-o'clock position with a vitreous bead presenting. The lens was intact and the vitreous was clear. The retina was attached without holes or tears. A computed tomographic scan was negative for intraocular foreign body. The laceration was repaired and an ab