colistin and Pancreatic-Pseudocyst

We report a case of a 35-year-old male with a pancreatic pseudocyst, who developed bilateral endogenous endophthalmitis, 4 days after surgical drainage of the pseudocyst. Bacterial cultures of the pancreatic drain fluid and the vitreous tap showed the growth of Klebsiella pneumoniae. The cultured organism was resistant to all the tested antibiotics except colistin. Intravenous colistin was instituted and three injections of intravitreal colistin were given in the left eye of the patient. Complete resolution of infection was seen and visual acuity of 6/6 was regained in both eyes, which was maintained at 4-month follow-up.

Topics: Adult; Anti-Bacterial Agents; Colistin; Drug Resistance, Multiple, Bacterial; Endophthalmitis; Eye Infections, Bacterial; Follow-Up Studies; Humans; Injections, Intravenous; Intravitreal Injections; Klebsiella Infections; Klebsiella pneumoniae; Male; Pancreatic Pseudocyst; Visual Acuity; Vitreous Body