A Case of Corneal Ulcer Caused by Leclercia Adecarboxylata.
10.3341/jkos.2014.55.6.918
- Author:
Kee Il LEE
1
;
Sung Kun CHUNG
;
Hyung Bin HWANG
Author Information
1. Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea. leoanzel@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Corneal ulcer;
Gram-negative bacilli;
Leclercia adecarboxylata
- MeSH:
Adult;
Anti-Bacterial Agents;
Bacteria;
Cicatrix;
Coinfection;
Corneal Ulcer*;
Diagnosis;
Enterobacteriaceae*;
Female;
Humans;
Ofloxacin;
Ophthalmic Solutions
- From:Journal of the Korean Ophthalmological Society
2014;55(6):918-922
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of corneal ulcer caused by Leclercia adecarboxylata in an immunocompetent patient. CASE SUMMARY: A previously healthy 43-year-old female presented with right ocular pain and was referred to our clinic under the impression of corneal abrasion and secondary infection. The patient was treated at a local clinic for 3 days using artificial tears, therapeutic contact lens, topical antibiotics, and anti-inflammatory eye drops but showed no improvement. Gram staining, bacterial and fungal cultures and antibiotic sensitivity test were performed from a corneal scrape. The cultures revealed growth of Leclercia adecarboxylata. The patient was treated with moxifloxacin and ofloxacin eye drops. After 2 weeks of treatment, the infection resolved without remaining scars. CONCLUSIONS: Reportedly, Leclercia adecarboxylata affects humans only as an opportunistic pathogen or part of polymicrobial infections. However, in the present case, Leclercia adecarboxylata was isolated as a single pathogen in an immunocompetent patient which is the first clinical report of this microorganism found in an ocular sample. Therefore, if antibiotic-susceptible gram-negative bacilli are found in opthalmologic samples, the above bacteria should be considerd in the diagnosis.
