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Abstract ID: 24-138
Ochrobactrum anthropi chronical dacryocystitis: First description
Hervé CHENAL
Purpose
To describe an unusual case of chronical dacryocystitis caused by Ochrobactrum anthropi and its particularities (clinical, bacteriological, surgical).
Methods
Case report
Results
The patient was a 79-year-old immunosuppressed woman with frank hypogammaglobulinemia, contaminated during a thalassotherapy cure few weeks ago. The surgery was performed without biomaterials after the failure of a medical treatment using usual antibiotics (oral amoxicilline and clavulanique acid and topical rifamycine). Bacteriological samples pre op et per op grew a non-fermenting gram-negative bacteria Ochrobactrum anthropi with multidrug resistance. By using systemic ciprofloxacine per op, then oral and topical ciprofloxacine for two weeks, the outcome was good.
Conclusion
Ochrobactrum anthropi is an emerging ocular pathogen that has not been previously reported in case of dacryocystitis. It’s important to think about this pathogen in case of chronical and drug resistant dacryocystitis with a water exposition in an immunosuppressed old person. Using biomaterial during the surgery is prohibited because of the well-known risk of chronical contamination with this type of bacteria.
Additional Authors
– Institut Européen de la Vision et du Regard Nancy-France