Infectious Keratitis Caused by Shewanella Putrefaciens
10.3341/jkos.2019.60.8.787
- Author:
Tae Kyu MOON
1
;
Yong Sok JI
;
Kyung Chul YOON
Author Information
1. Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. kcyoon@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
Corneal ulcer;
Shewanella putrefaciens
- MeSH:
Aged;
Anterior Chamber;
Anti-Bacterial Agents;
Ceftazidime;
Corneal Ulcer;
Estrogens, Conjugated (USP);
Fingers;
Humans;
Hypertension;
Inflammation;
Keratitis;
Male;
Republic of Korea;
Shewanella putrefaciens;
Shewanella;
Slit Lamp;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2019;60(8):787-791
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case of infectious keratitis caused by Shewanella putrefaciens in a patient after fishing. CASE SUMMARY: A 75-year-old male with no underlying disease other than hypertension was admitted to our hospital because of decreased visual acuity and congestion in his left eye for 2 weeks. At the first ophthalmic examination, the best-corrected visual acuity (BCVA) of the left eye was counting fingers. Slit lamp examination showed stromal infiltrates with 2.0 × 2.0 mm corneal epithelial defects, endothelial inflammatory plaques and 1 mm height hypopyon with severe inflammation in the anterior chamber. Bacterial culture tests were performed by corneal scraping, which were positive for Shewanella putrefaciens, followed by treatment with moxifloxacin and ceftazidime topical antibiotics. After 2 months of treatment, the BCVA of the left eye improved to 0.4 and the corneal lesion clinically improved with residual mild stromal opacity. CONCLUSIONS: Shewanella putrefaciens should be considered as a causal pathogen of infectious keratitis in patients after fishing. We report a case of infectious keratitis caused by Shewanella putrefaciens, which has never previously been reported in the Republic of Korea.
