01921nas a2200217   4500008003900000245015500039210006900194260000800263300000600271490000700277520119700284100002001481700002101501700002901522700002101551700002101572700001301593700002801606700002401634856004501658       2018                          d00aPost-keratoplasty Endophthalmitis by Multidrug-resistant Pseudomonas Aeruginosa With Positive Culture of the Contralateral Donor Cornea: A Case Report0 aPostkeratoplasty Endophthalmitis by Multidrugresistant Pseudomon  cApr  a40 v503 aPURPOSE:  The aim of this paper is to present the case report of a patient developing endophthalmitis after penetrating keratoplasty caused by a multidrug-resistant Pseudomonas aeruginosa, detected only in the contralateral donor tissue. CASE REPORT:  A 77-year-old man underwent an uneventful penetrating keratoplasty with a preoperative culture-negative donor cornea; however, the fellow cornea grew multidrug-resistant Pseudomonas aeruginosa. The patient developed and was treated for endophthalmitis after penetrating keratoplasty, and aqueous and vitreous taps grew P. aeruginosa with antibiotic resistance identical to the isolate from the mate cornea. Sequence analysis of the 16S ribosomal gene from the two isolates and confirmation analyzing the sequence of P. aeruginosa heat shock protein gene (groES) were performed showing the same strain for both organisms. CONCLUSION:  This case report documents the presence of the same multidrug-resistant P. aeruginosa causing endophthalmitis after penetrating keratoplasty and in the contralateral donor tissue, suggesting that we must be cautious in deciding to transplant tissues with positive culture in the contralateral donor cornea.1 aSerna-Ojeda, JC1 aPedro-Aguilar, L1 aRodriguez-Quintanilla, C1 aMejía-López, H1 aPonce-Angulo, DG1 aNavas, A1 ade Lucio, VM, Bautista-1 aGraue-Hernandez, EO  uhttps://notifylibrary.org/reference/4789