Janda W M, Hellerman D V, Zeiger B, Brody B B
Am J Clin Pathol. 1985 May;83(5):655-7. doi: 10.1093/ajcp/83.5.655.
In this report, a case of bacterial keratitis caused by Klebsiella ozaenae is presented. The patient was an otherwise healthy 65-year-old woman with a history of chronic ocular inflammation and a corneal transplant two years prior to the appearance of the corneal ulcer. K. ozaenae is uncommon as a cause of keratitis and is recognized as a cause of atrophic rhinitis and as an opportunistic pathogen in patients with various underlying diseases. The organism was not identified with the computer-assisted API 20E for identification of the Enterobacteriaceae, and conventional methods were required to demonstrate its unique properties. The clinical spectrum of disease, the characteristics of the organism, and its susceptibility to antimicrobial agents are discussed.
本报告介绍了一例由臭鼻克雷伯菌引起的细菌性角膜炎病例。患者是一位65岁的健康女性,有慢性眼部炎症病史,在角膜溃疡出现前两年接受过角膜移植。臭鼻克雷伯菌作为角膜炎的病因并不常见,它被认为是萎缩性鼻炎的病因,也是各种基础疾病患者的机会致病菌。使用计算机辅助的API 20E鉴定肠杆菌科细菌时未能识别出该菌,需要采用传统方法来证明其独特特性。本文讨论了该病的临床谱、该菌的特征及其对抗菌药物的敏感性。