Ophthalmology Department, Faculty of Medicine, Cukurova University, Balcalı-Adana, Turkey.
Eye Contact Lens. 2013 Sep;39(5):361-3. doi: 10.1097/ICL.0b013e318291d171.
To present a case of bacterial keratitis caused by Elizabethkingia meningosepticum in an eye after trauma.
Case report.
A 45-year-old woman was referred to our cornea clinic for keratitis, which had developed following nonpenetrating eye trauma from a tree branch. Cultures from a corneal smear demonstrated heavy growth of E. meningosepticum. Treatment with a combination of topical moxifloxacin and topical trimethoprim/polymyxin B effectively controlled the corneal ulcer. Corneal infection resolved within 2 months, but a central corneal scar and vascularization remained.
E. meningosepticum is an opportunistic bacterium and gives rise to severe systemic infections in immunocompromised patients. Ocular infections caused by this bacterium are extremely rare in the literature. To our knowledge, this is the first report of posttraumatic keratitis caused by E. meningosepticum.
报告 1 例创伤后眼内感染脑膜脓毒性伊丽莎白菌导致细菌性角膜炎。
病例报告。
1 例 45 岁女性因树枝造成的非穿透性眼外伤后出现角膜炎，就诊于我院角膜病专科。角膜刮片培养显示大量脑膜脓毒性伊丽莎白菌生长。局部应用莫西沙星和妥布霉素/多黏菌素 B 联合治疗有效控制了角膜溃疡。2 个月内角膜感染得到控制，但仍遗留中央角膜瘢痕和血管化。
脑膜脓毒性伊丽莎白菌是一种机会致病菌，可引起免疫功能低下患者的严重全身感染。该细菌引起的眼部感染在文献中极为罕见。据我们所知，这是首例由脑膜脓毒性伊丽莎白菌引起的创伤后角膜炎的报道。
