Case report demonstrates intraocular gas formation from Bacillus cereus panophthalmitis after penetrating trauma, highlighting the need for prompt diagnosis and targeted clindamycin treatment.
It has become increasingly apparent that Bacillus cereus can cause a severe and devastating form of endophthalmitis following penetrating trauma by a metallic object. B. cereus is an uncommon aetiological agent in non-clostridial gas-forming infections. The patient studied in this single case report showed evidence of intraocular gas mimicking gas gangrene infection. The physiology of non-clostridial bacteria producing gas from anaerobic metabolic conditions is reviewed. Further intraocular and systemic complications which may be avoided by accurate and early diagnosis and the use of recommended treatment with antibiotics such as clindamycin.
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Al‐Hemidan et al. (1989) studied this question.
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