Department of Ophthalmology, National University Hospital, Singapore 119228, USA.
Eye Contact Lens. 2013 Mar;39(2):192-3. doi: 10.1097/ICL.0b013e3182448881.
To report an unusual case of keratitis in a cosmetic contact lens wearer caused by two rare organisms.
Case report.
A 14-year-old cosmetic contact lens user presented with a paracentral corneal ulcer in her right eye. The cosmetic lenses were bought online. The cultures from corneal scrapings and contact lenses demonstrated heavy growth of Chryseobacterium meningosepticum and Delftia acidovorans. The treatment with topical ciprofloxacin and fortified gentamicin was effective, and the infection resolved with corneal scar after 5 weeks.
Use of cosmetic contact lenses and buying them online is a fairly common practice among teenagers. This can lead to serious eye infection as in this case. To our knowledge, this is the first report of contact lens-related keratitis simultaneously involving these two rare organisms.
报告一例因两种罕见微生物引起的配戴美容隐形眼镜导致的角膜炎。
病例报告。
一名 14 岁的美容隐形眼镜使用者右眼出现旁中心角膜溃疡。美容镜片是从网上购买的。角膜刮片和隐形眼镜的培养显示出脑膜败血黄杆菌和产酸代尔夫特菌的大量生长。局部应用环丙沙星和加酶庆大霉素治疗有效，5 周后感染治愈，角膜遗留瘢痕。
青少年中使用美容隐形眼镜和从网上购买隐形眼镜非常普遍，这种情况可能导致严重的眼部感染。据我们所知，这是首例同时涉及这两种罕见微生物的隐形眼镜相关角膜炎的报道。
