{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:34:51Z","timestamp":1718757291750},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"<jats:p><jats:italic>Enterobacter<\/jats:italic> is a Gram-negative anaerobic bacillus. <jats:italic>Enterobacter<\/jats:italic>-associated endophthalmitis is rare. We report <jats:italic>Enterobacter cloacae<\/jats:italic>-associated traumatic endophthalmitis following a water gun injury with no visible external entry wound. A 46-year-old man presented with features masquerading as traumatic uveitis in his left eye following injury by water stream from a toy gun. He was started on topical steroids but within 2 days of initial presentation, there was worsening of vision, presence of hypopyon in the anterior chamber and presence of vitreous exudates confirmed on ocular ultrasound B-scan. Endogenous endophthalmitis was ruled out by extensive work-up including sterile urine and blood cultures. Emergency vitrectomy was done along with lensectomy and silicone oil implantation. <jats:italic>E. cloacae<\/jats:italic> were isolated from the vitreous sample, which were sensitive to all standard antibiotics tested. Final visual acuity was 20\/200. Traumatic endophthalmitis is usually preceded by a penetrating ocular injury in the form of a corneal, limbal or scleral tear with or without choroidal tissue prolapse and vitreous prolapse. A high index of suspicion is, therefore, needed for the diagnosis of endophthalmitis in the absence of corneal injury following water jet trauma to the eye.<\/jats:p>","DOI":"10.25259\/nmji_945_20","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T11:49:34Z","timestamp":1718711374000},"page":"367-369","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exogenous endophthalmitis caused by <i>Enterobacter cloacae<\/i> following water gun injury"],"prefix":"10.25259","volume":"36","author":[{"given":"AMIT KUMAR","family":"DEB","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ASWATHI","family":"NEENA","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SUSHMITA SANA","family":"CHOWDHURY","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SANDIP","family":"SARKAR","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SANGARAJU","family":"SUNEEL","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TANMAY","family":"GOKHALE","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"10.25259\/NMJI_945_20\/ref-1","doi-asserted-by":"publisher","first-page":"112","DOI":"10.4103\/ijo.IJO_693_19","article-title":"Enterobacter endophthalmitis: Clinical settings, susceptibility profile, and management outcomes across two decades","volume":"68","author":"Dave","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"10.25259\/NMJI_945_20\/ref-2","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1097\/IAE.0b013e3182205982","article-title":"Enterobacter endophthalmitis: Clinicomicrobiologic profile and 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