TABLE 3.
Summary of the diagnostic tests carried out on intraocular samples
Sample no.a | Initial diagnosis | Predisposing condition(s) or surgery | Gram strain reaction | Culture | PCR result |
---|---|---|---|---|---|
1v | Acute endophthalmitis | Trabeculectomy surgery | Positive | S. pneumoniaeb | Gram positive |
1a | Acute endophthalmitis | Trabeculectomy surgery | Positive | S. pneumoniae | Gram positive |
2v | Metastatic endophthalmitis | Staphylococcal osteomyelitis and septicemia | Positive | S. aureusc | Gram positive |
3v | Chronic endophthalmitis | Cataract surgery | No organisms seen | No growth | Gram positive |
4vL | Vitritis secondary to chronic intraocular inflammation | Not applicable | Not done | No growth | No product |
4vR | Vitritis secondary to chronic intraocular inflammation | Not applicable | Not done | No growth | No product |
Abbreviations: v, vitreous humor; a, aqueous humor; R, right eye; L, left eye.
The vitreous sample from this patient's eye was subcultured from a cloudy brain heart infusion at 24 h and yielded florid growth of streptococci after a further 24 h.
The vitreous sample from this patient's eye was culture positive on blood agar, brain heart infusion, cooked meat broth, fluid thioglycolate medium, and R2A agar after 24 h.