A rare case of Stenotrophomonas maltophilia endogenous endophthalmitis in pediatric age group

We report a unique case of Stenotrophomonas maltophilia-related pediatric endogenous endophthalmitis.

A 10-year-old male presented with redness and loss of vision in his right eye for two weeks. Clinical examination and ultrasound features were suggestive of endophthalmitis, most likely endogenous due to the absence of a history of trauma or intraocular intervention. Following vitrectomy and appropriate intravitreal antibiotics, the vision improved to 20/80. Vitreous culture revealed a gram-negative bacillus Stenotrophomonas maltophilia.

Timely recognition of this pathogen and management as per antibiotic sensitivity can help salvage functional vision in this condition.