An Unusual Causative Agent for an Orbital Abscess:Granulicatella Adiacens
- 16 May 2011
- journal article
- case report
- Published by Informa UK Limited in Orbit
- Vol. 30 (3), 162-164
- https://doi.org/10.3109/01676830.2011.569631
Abstract
We present a patient who developed an orbital abscess secondary to a retained organic (wooden) foreign body after a fall. Clinically, he had a right sub brow fistula exuding purulent discharge, four millimetres of proptosis, limitation of ocular motility in all directions of gaze, but no signs of optic neuropathy. Preoperative computed tomography and magnetic resonance imaging of the orbits was performed to localise the abscess and to facilitate surgical planning. He underwent exploration, drainage of the abscess and removal of the wooden foreign body with good postoperative recovery. Cultures isolated Ganulicatella Adiacens, a nutritionally variant streptococcus. This is an unusual causative organism and to our knowledge, this is the first reported case of a posttraumatic orbital abscess associated with Granulicatella Adiacens. Clinical suspicion, isolation of the organism and appropriate microbial treatment requires a multidisciplinary approach, with input from the ophthalmologist, microbiologist and infectious disease team. This will ensure a good outcome in patient management.Keywords
This publication has 9 references indexed in Scilit:
- Granulicatella adiacens breast implant-associated infectionDiagnostic Microbiology and Infectious Disease, 2008
- Infectious intracranial aneurysms caused by Granulicatella adiacensDiagnostic Microbiology and Infectious Disease, 2008
- Prosthetic valve endocarditis from Granulicatella adiacens (nutritionally variant streptococci)Journal of Infection, 2005
- Hyperbaric oxygen therapy in the treatment of orbital gas gangreneJournal of American Association for Pediatric Ophthalmology and Strabismus, 2002
- GranulicatellaandAbiotrophiaSpecies from Human Clinical SpecimensJournal of Clinical Microbiology, 2001
- Antimicrobial susceptibility of Abiotrophia adiacens and Abiotrophia defectivaDiagnostic Microbiology and Infectious Disease, 2000
- Diagnosis and management of orbital inflammation and infections secondary to foreign bodies: a clinical reviewOrbit, 1998
- Nutritionally variant streptococciClinical Microbiology Reviews, 1991
- Endocarditis Due to Nutritionally Deficient Streptococci: Therapeutic DilemmaClinical Infectious Diseases, 1987