{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:04:49Z","timestamp":1790697889942,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of VitreoRetinal Diseases"],"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      To report the clinical and microbiological characteristics of 5 cases of postsurgical endophthalmitis caused by\n                      <jats:italic toggle=\"yes\">Ralstonia mannitolilytica<\/jats:italic>\n                      and to review the relevant literature.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Medical records of patients diagnosed with endophthalmitis due to\n                      <jats:italic toggle=\"yes\">Ralstonia mannitolilytica<\/jats:italic>\n                      were retrospectively reviewed. The organism was identified using an automated VITEK system, while antibiotic susceptibility testing was conducted using standard microbiologic protocols. Primary outcome measures included infection control, visual improvement at 4 to 6 weeks of follow-up, and the antibiotic sensitivity profile of\n                      <jats:italic toggle=\"yes\">Ralstonia<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Infection control was achieved in all cases. Visual outcomes were excellent in 3 out of 5 cases. All isolates demonstrated in vitro susceptibility to ciprofloxacin but differential sensitivity to ceftazidime.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      To our knowledge, this is the first reported case series of culture-proven\n                      <jats:italic toggle=\"yes\">R. mannitolilytica<\/jats:italic>\n                      endophthalmitis. This series highlights the importance of accurate identification and antibiotic susceptibility-tailored management in infections caused by rare organisms such as\n                      <jats:italic toggle=\"yes\">Ralstonia<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24741264261457972","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T07:00:46Z","timestamp":1781679646000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Ralstonia mannitolilytica<\/i>\n                    as a Cause of Postoperative Endophthalmitis"],"prefix":"10.1177","author":[{"given":"Nandan Somani","family":"Rakesh","sequence":"first","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-5093","authenticated-orcid":false,"given":"Janani","family":"Sreenivasan","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5875-0152","authenticated-orcid":false,"given":"Appakkudal R.","family":"Anand","sequence":"additional","affiliation":[{"name":"L and T Microbiology Research Centre, Medical Research Foundation, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5842-0233","authenticated-orcid":false,"given":"Rajiv","family":"Raman","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaya Prakash","family":"Vadivelu","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghulnadhan","family":"R","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saraswathi","family":"Baskaran","sequence":"additional","affiliation":[{"name":"L and T Microbiology Research Centre, Medical Research Foundation, Sankara Nethralaya, Chennai, TN, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"575","article-title":"Incidence of endophthalmitis after cataract surgery","volume":"191","author":"Leopold I.","year":"1971","unstructured":"Leopold I. 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