Clostridium perfringens panophthalmitis and orbital cellulitis: a case report

• Main Authors: Ghita Guedira, Nabil Taright, Hélène Blin, Thameur Fattoum, Jordan Leroy, Youssef El Samad, Solange Milazzo, Farida Hamdad
• Format: Article
• Language: English
• Published: BMC 2018-04-01
• Series: BMC Ophthalmology
• Subjects: C. perfringens; Panophthalmitis; Diagnosis; Treatment
• Online Access: http://link.springer.com/article/10.1186/s12886-018-0751-0

Abstract Background Clostridium perfringens is an uncommon pathogen in endophthalmitis, causing rapid destruction of ocular tissues. Clostridium perfringens infection typically occurs after penetrating injury with soil-contaminated foreign bodies. Case report Here, we describe the case of a 17-year-old male who sustained a penetrating injury with a metallic intraocular foreign body and who rapidly developed severe C. perfringens panophthalmitis with orbital cellulitis. He was managed by systemic and intravitreal antibiotics, resulting in preservation of the globe, but a poor visual outcome. Conclusion Clostridial endophthalmitis secondary to penetrating injuries is a fulminant infection, almost always resulting in loss of the globe in the case of advanced infection. When feasible, early vitrectomy and intravitreal antibiotics should be considered in patients with penetrating eye injuries with contaminated foreign bodies.