Bialasiewicz A A, Holbach L, Boltze H J
Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg.
Klin Monbl Augenheilkd. 1988 Jul;193(1):62-5. doi: 10.1055/s-2008-1050224.
An 86-year-old patient with corneal gutae and diabetes presented with a Listeria monocytogenes serpent ulcer on her right eye. Smears taken from the ulcer revealed Listeria monocytogenes serotype 4b. Despite specific antibiotic therapy including cephalosporins and systemic administration of amikacin, as well as topical gentamycin drops, the eye had to be enucleated on the 16th day after hospitalization. Massive fibrinous reaction and extreme pain causing the patient to reject alimentation were the clinical signs at this time. The anterior chamber aspirate taken perioperatively was sterile.