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Alcaligenes xylosoxidans conjunctivitis.
Cornea. 2007 Aug; 26(7):868-9.C

Abstract

PURPOSE

To report a case of chronic unilateral conjunctivitis caused by Alcaligenes xylosoxidans.

METHODS

A previously healthy 47-year-old woman presented with left eye purulent discharge and irritation beginning 3 months earlier. The patient had previously been treated with bacitracin and olopatadine without improvement. Bacterial staining, culture, and antibiotic sensitivities were performed from a conjunctival swab.

RESULTS

The cultures revealed heavy growth of A. xylosoxidans. The organism was resistant to aminoglycosides, fluoroquinolones, and cephalosporins. The patient was started on polytrim, but an allergic reaction forced the use of topical Timentin 2%. After 14 days of treatment, the infection completely resolved.

CONCLUSIONS

To our knowledge, this is the first case report of an external ocular infection caused by A. xylosoxidans in a host without predisposing risk factors and the first case report of isolated conjunctivitis caused by A. xylosoxidans. A. xylosoxidans should be considered a rare but potential pathogen capable of producing chronic conjunctivitis in an otherwise healthy host.

Authors+Show Affiliations

Department of Ophthalmology, Tulane University, New Orleans, LA, USA. ryanbradfordrush21@hotmail.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17667625

Citation

Rush, Ryan, and Miles Friedlander. "Alcaligenes Xylosoxidans Conjunctivitis." Cornea, vol. 26, no. 7, 2007, pp. 868-9.
Rush R, Friedlander M. Alcaligenes xylosoxidans conjunctivitis. Cornea. 2007;26(7):868-9.
Rush, R., & Friedlander, M. (2007). Alcaligenes xylosoxidans conjunctivitis. Cornea, 26(7), 868-9.
Rush R, Friedlander M. Alcaligenes Xylosoxidans Conjunctivitis. Cornea. 2007;26(7):868-9. PubMed PMID: 17667625.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcaligenes xylosoxidans conjunctivitis. AU - Rush,Ryan, AU - Friedlander,Miles, PY - 2007/8/2/pubmed PY - 2007/10/17/medline PY - 2007/8/2/entrez SP - 868 EP - 9 JF - Cornea JO - Cornea VL - 26 IS - 7 N2 - PURPOSE: To report a case of chronic unilateral conjunctivitis caused by Alcaligenes xylosoxidans. METHODS: A previously healthy 47-year-old woman presented with left eye purulent discharge and irritation beginning 3 months earlier. The patient had previously been treated with bacitracin and olopatadine without improvement. Bacterial staining, culture, and antibiotic sensitivities were performed from a conjunctival swab. RESULTS: The cultures revealed heavy growth of A. xylosoxidans. The organism was resistant to aminoglycosides, fluoroquinolones, and cephalosporins. The patient was started on polytrim, but an allergic reaction forced the use of topical Timentin 2%. After 14 days of treatment, the infection completely resolved. CONCLUSIONS: To our knowledge, this is the first case report of an external ocular infection caused by A. xylosoxidans in a host without predisposing risk factors and the first case report of isolated conjunctivitis caused by A. xylosoxidans. A. xylosoxidans should be considered a rare but potential pathogen capable of producing chronic conjunctivitis in an otherwise healthy host. SN - 0277-3740 UR - https://www.unboundmedicine.com/medline/citation/17667625/Alcaligenes_xylosoxidans_conjunctivitis_ L2 - https://doi.org/10.1097/ICO.0b013e31806c78bc DB - PRIME DP - Unbound Medicine ER -