A Case of Alcaligenes xylosoxidans Keratitis in a Soft Contact Lens Wearer.
10.3341/jkos.2010.51.11.1525
- Author:
Yang Kyung CHO
1
;
Dong Hyun GI
;
Hyun Kyung KIM
;
Tae Yoon LA
Author Information
1. Department of Ophthalmology and Visual Science, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea. laty@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Alcaligenes xylosoxidans;
Contact lens
- MeSH:
Alcaligenes;
Anti-Bacterial Agents;
Ceftazidime;
Cicatrix;
Contact Lenses;
Contact Lenses, Hydrophilic;
Corneal Ulcer;
Eye;
Female;
Humans;
Keratitis;
Ofloxacin;
Ulcer;
Young Adult
- From:Journal of the Korean Ophthalmological Society
2010;51(11):1525-1527
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of corneal ulcer due to Alcaligenes xylosoxidans in a soft contact lens wearer. CASE SUMMARY: A 20-year-old female patient presented with a corneal ulcer. The patient had been wearing soft contact lenses over 6 months. The ulcer had a typical appearance, similar to that of immune infiltration due to contact lenses. However, the corneal scraping and culture yielded Alcaligenes xylosoxidans, which is susceptible to ceftazidime and levofloxacine in the antibiotic susceptibility test. After treatment with topical antibiotics, her eye improved, with only a mild corneal scar remaining. CONCLUSIONS: Alcaligenes xylosoxidans should be considered as a potential causal pathogen of keratitis upon wearing soft contact lenses. Additionally, any lesion should be suspected as a bacterial corneal ulcer, even if appearing as an immune infiltration due to contact lenses.
