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Achromobacter xylosoxidans keratitis after contact lens usage.
Korean J Ophthalmol. 2012 Feb; 26(1):49-53.KJ

Abstract

To report on Achromobacter xylosoxidans keratitis in two healthy patients who had worn contact lenses foran extended period of time. A 36-year-old female and a 21-year-old female visited our hospital with ocular pain and blurred vision. Both patients had a history of wearing soft contact lenses for over fve years with occasional overnight wear. At the initial presentation, a slit lamp examination revealed corneal stromal infiltrations and epithelial defects with peripheral neovascularization in both patients. Microbiological examinations were performed from samples of corneal scrapings, contact lenses, contact lens cases, and solution. The culture resulting from the samples taken from the contact lenses, contact lens cases, and solution were all positive for Achromobacter xylosoxidans. Confrming that the direct cause of the keratitis was the contact lenses, the frst patient was prescribed ceftazidime and amikacin drops sensitive to Achromobacter xylosoxidans. The second patient was treated with 0.3% gatifoxacin and fortifed tobramycin drops. After treatment, the corneal epithelial defects were completely healed, and subepithelial corneal opacity was observed. Two cases of Achromobacter xylosoxidans keratitis were reported in healthy young females who wore soft contact lenses. Achromobacter xylosoxidans should be considered a rare but potentially harmful pathogen for lens-induced keratitis in healthy hosts.

Authors+Show Affiliations

Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22323886

Citation

Park, Jung Hyun, et al. "Achromobacter Xylosoxidans Keratitis After Contact Lens Usage." Korean Journal of Ophthalmology : KJO, vol. 26, no. 1, 2012, pp. 49-53.
Park JH, Song NH, Koh JW. Achromobacter xylosoxidans keratitis after contact lens usage. Korean J Ophthalmol. 2012;26(1):49-53.
Park, J. H., Song, N. H., & Koh, J. W. (2012). Achromobacter xylosoxidans keratitis after contact lens usage. Korean Journal of Ophthalmology : KJO, 26(1), 49-53. https://doi.org/10.3341/kjo.2012.26.1.49
Park JH, Song NH, Koh JW. Achromobacter Xylosoxidans Keratitis After Contact Lens Usage. Korean J Ophthalmol. 2012;26(1):49-53. PubMed PMID: 22323886.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Achromobacter xylosoxidans keratitis after contact lens usage. AU - Park,Jung Hyun, AU - Song,Nang Hee, AU - Koh,Jae Woong, Y1 - 2012/01/14/ PY - 2011/01/07/received PY - 2011/03/19/accepted PY - 2012/2/11/entrez PY - 2012/2/11/pubmed PY - 2012/6/1/medline KW - Achromobacter xylosoxidans KW - Hydrophilic contact lenses KW - Keratitis SP - 49 EP - 53 JF - Korean journal of ophthalmology : KJO JO - Korean J Ophthalmol VL - 26 IS - 1 N2 - To report on Achromobacter xylosoxidans keratitis in two healthy patients who had worn contact lenses foran extended period of time. A 36-year-old female and a 21-year-old female visited our hospital with ocular pain and blurred vision. Both patients had a history of wearing soft contact lenses for over fve years with occasional overnight wear. At the initial presentation, a slit lamp examination revealed corneal stromal infiltrations and epithelial defects with peripheral neovascularization in both patients. Microbiological examinations were performed from samples of corneal scrapings, contact lenses, contact lens cases, and solution. The culture resulting from the samples taken from the contact lenses, contact lens cases, and solution were all positive for Achromobacter xylosoxidans. Confrming that the direct cause of the keratitis was the contact lenses, the frst patient was prescribed ceftazidime and amikacin drops sensitive to Achromobacter xylosoxidans. The second patient was treated with 0.3% gatifoxacin and fortifed tobramycin drops. After treatment, the corneal epithelial defects were completely healed, and subepithelial corneal opacity was observed. Two cases of Achromobacter xylosoxidans keratitis were reported in healthy young females who wore soft contact lenses. Achromobacter xylosoxidans should be considered a rare but potentially harmful pathogen for lens-induced keratitis in healthy hosts. SN - 2092-9382 UR - https://www.unboundmedicine.com/medline/citation/22323886/Achromobacter_xylosoxidans_keratitis_after_contact_lens_usage_ L2 - https://ekjo.org/DOIx.php?id=10.3341/kjo.2012.26.1.49 DB - PRIME DP - Unbound Medicine ER -