Recurrent rhodococcus gordoniae eyelid infection after combined septoplasty and blepharoplasty

Houman Vosoghi, Cari E. Lyle, James Fleming

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Rhodococcus species are rare human pathogens. Most cases of human infection have involved Rhodococcus equi, a natural zoonotic pathogen causing pneumonia in young foals. The human population at risk mainly includes immunocompromised patients. Infection of immunocompetent hosts has been rare, with less than 30 reported cases in the literature. The authors report a first case of recurrent Rhodococcus gordoniae granulomatous lower eyelid infection that occurred after an immunocompetent 44-year-old woman underwent a combined intranasal and lower blepharoplasty procedure. A literature search revealed only 10 reported cases of non-R. equi rhodococcal infections, most involving traumatic inoculation; 5 of these cases involved the eye and ocular adnexa. To the author's knowledge, this is the first case report of a non-R. equi rhodococcal infection of the eyelids. Identification of Rhodococcus by most laboratories is difficult, and in this case, 2 of 3 cultures were misidentified prior to definitive testing at a specialized laboratory. Multidrug resistance is also a concern, and the treatment course could be long and difficult.

Original languageEnglish (US)
Pages (from-to)127-129
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume26
Issue number2
DOIs
StatePublished - Mar 1 2010

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Blepharoplasty
Rhodococcus
Eyelids
Infection
Rhodococcus equi
Zoonoses
Immunocompromised Host
Multiple Drug Resistance
Pneumonia

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Surgery

Cite this

Recurrent rhodococcus gordoniae eyelid infection after combined septoplasty and blepharoplasty. / Vosoghi, Houman; Lyle, Cari E.; Fleming, James.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 26, No. 2, 01.03.2010, p. 127-129.

Research output: Contribution to journalArticle

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