Abstract

BackgroundMycobacterium houstonense is rapidly growing mycobacteria (RGM) that belongs to M. fortuitum group. So far, there have been few associated reports of human diseases induced by M. houstonense worldwide.Case presentationWe present a delayed-onset postoperative endophthalmitis caused by M. houstonense after glaucoma drainage implant (GDI) surgery. The ocular infection lasted for 2 months without appropriate treatment that developed into endophthalmitis and the patient underwent an emergency enucleation.ConclusionImplant erosion and a delay in diagnosis of ocular infection could lead to irreversible damage as observed in our case. Ophthalmologists should be alert for ocular RGM infection, and prompt laboratory diagnosis with initiation of effective multidrug therapy might prevent loss of vision.

Highlights

  • ConclusionImplant erosion and a delay in diagnosis of ocular infection could lead to irreversible damage as observed in our case

  • Mycobacterium houstonense is rapidly growing mycobacteria (RGM) that belongs to M. fortuitum group

  • Currently, the species of rapidly growing mycobacteria (RGM) capable of producing disease in humans are grouped into six major taxonomic groups according to pigmentation and genetic relatedness

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Summary

Conclusion

Implant erosion and a delay in diagnosis of ocular infection could lead to irreversible damage as observed in our case.

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