Successful Treatment of Acute Endophthalmitis after Cat Bite: A Case Report and Review of the Literature

Abstract

Endophthalmitis after cat bite has poor outcome particularly those associated with scleral injury. A 33-year-old Caucasian female was seen by her ophthalmologist 4 days after cat bite to her right eye with hand motion vision and obvious signs of acute endophthalmitis. She was treated with exploration and repair of scleral puncture wound, anterior chamber and vitreous cultures and intravitreal injections of vancomycin and ceftazidime. Cultures were positive for alpha hemolytic <i>Streptococcus</i>. She underwent a pars plana vitrectomy, cultures and repeat injection of the same antibiotics and intravitreal dexamethasone 2 days later. Cultures grew <i>Bacillus</i>. Endophthalmitis resolved and she regained 20/20 vision after cataract surgery 3 months later. Successful outcome of acute endophthalmitis following a cat bite to the sclera in this case was most likely due to prompt intravitreal antibiotics and early vitrectomy combined with supplemental intravitreal antibiotics and steroid therapy.

Ocular Cat Bite Injury: A Case Report and Literature Review

“…Thus, we would like to take this opportunity to elaborate more on the cases of cat bites, with a case report of our own experience in its management and a comparison of cases to other regions locally and globally. While ocular injury related to cats is rare, to date, 10 cases of cat-bite- or cat-scratch-related endophthalmitis have been reported [ 5 - 14 ]. All of the cases reported are associated with endophthalmitis.…”