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由一种新出现的病原体引起的与隐形眼镜相关的角膜炎

Contact lens-related keratitis due to an emerging pathogen .

作者信息

Anitha Venugopal, Soni Avani, Ghorpade Aditya Sanjeev, Ravindran Meenakshi, Rani Uma

机构信息

Department of Cornea and Refractive Surgery, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India.

Department of Cornea and Refractive Surgery, Shri Narayan Eye Hospital, Tajpura, Gujarat, India.

出版信息

Oman J Ophthalmol. 2025 Feb 25;18(1):81-84. doi: 10.4103/ojo.ojo_203_23. eCollection 2025 Jan-Apr.

Abstract

This case report highlights a rare case of contact lens-related keratitis (CLRK) caused by the emerging pathogen , which underscores the growing diversity of microorganisms implicated in ocular infections. A 28-year-old female, who had been using yearly disposable contact lenses (CLs) for the past 8 years without prior complications, developed peripheral corneal infiltrates. The infiltrates were attributed to the chronic use of CLs. Corneal scraping and CL culture results identified as the causative organism, a rare and novel cause of keratitis in CL users. The patient was treated promptly with broad-spectrum topical antibiotics, leading to a full resolution of the infiltrates. This is likely the first documented case of CLRK caused by . While belongs to the Pseudomonadaceae family, it did not manifest as a typical aggressive infection, suggesting a potentially less virulent course in CLRK. This case adds to the growing awareness of nonconventional pathogens in ocular infections and highlights the importance of early detection and treatment to prevent more severe outcomes.

摘要

本病例报告重点介绍了一例由新出现的病原体引起的罕见的与隐形眼镜相关的角膜炎(CLRK)病例,这凸显了与眼部感染相关的微生物种类日益增多的情况。一名28岁女性,在过去8年中一直使用年抛型隐形眼镜(CLs)且无先前并发症,却出现了周边角膜浸润。这些浸润归因于长期使用CLs。角膜刮片和CL培养结果确定 为病原体,这是CL使用者中角膜炎的一种罕见且新发现的病因。患者立即接受了广谱局部抗生素治疗,浸润完全消退。这可能是首例有记录的由 引起的CLRK病例。虽然 属于假单胞菌科,但它并未表现为典型的侵袭性感染,这表明在CLRK中其致病过程可能潜在地不那么具有毒性。该病例增加了人们对眼部感染中非传统病原体的认识,并强调了早期检测和治疗以预防更严重后果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414a/11925364/35f821c10655/OJO-18-81-g001.jpg

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