Tags

Type your tag names separated by a space and hit enter

Keratitis Due to Achromobacter xylosoxidans in a Contact Lens User.
Eye Contact Lens. 2018 Sep; 44 Suppl 1:S348-S351.EC

Abstract

OBJECTIVES

Ocular infections due to Achromobacter xylosoxidans are extremely uncommon; their diagnosis is a challenge and the optimal treatment remains controversial. We present a case of A. xylosoxidans in a contact lens user and a review of the literature to facilitate diagnostic suspicion and empirical therapeutic management.

METHODS

Review of the literature in PubMed and MEDLINE. We also document a case diagnosed in our department in January 2016.

SETTING

Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.

RESULTS

According to the literature, clinical manifestations and antibiotic sensitivity of A. xylosoxidans varied greatly. Our patient with no history of keratopathy presented three risk factors that made the diagnosis suspicious. The infection was resolved with topical moxifloxacin and fluorometholone.

CONCLUSIONS

A. xylosoxidans is an uncommon cause of infection, but must be suspected in atypical keratitis, reported contact with warm or still waters, use of contact lenses, or previous corneal damage. In these cases, microbiological studies and antibiotic sensitivity testing are particularly important.

Authors+Show Affiliations

Department of Ophthalmology (C.A.M., M.A.d.B., F.J.A., and J.A.C), Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28350622

Citation

Almenara Michelena, Cristina, et al. "Keratitis Due to Achromobacter Xylosoxidans in a Contact Lens User." Eye & Contact Lens, vol. 44 Suppl 1, 2018, pp. S348-S351.
Almenara Michelena C, Del Buey MÁ, Ascaso FJ, et al. Keratitis Due to Achromobacter xylosoxidans in a Contact Lens User. Eye Contact Lens. 2018;44 Suppl 1:S348-S351.
Almenara Michelena, C., Del Buey, M. Á., Ascaso, F. J., & Cristóbal, J. Á. (2018). Keratitis Due to Achromobacter xylosoxidans in a Contact Lens User. Eye & Contact Lens, 44 Suppl 1, S348-S351. https://doi.org/10.1097/ICL.0000000000000370
Almenara Michelena C, et al. Keratitis Due to Achromobacter Xylosoxidans in a Contact Lens User. Eye Contact Lens. 2018;44 Suppl 1:S348-S351. PubMed PMID: 28350622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Keratitis Due to Achromobacter xylosoxidans in a Contact Lens User. AU - Almenara Michelena,Cristina, AU - Del Buey,María Ángeles, AU - Ascaso,Francisco Javier, AU - Cristóbal,Jose Ángel, PY - 2017/3/30/pubmed PY - 2018/11/6/medline PY - 2017/3/29/entrez SP - S348 EP - S351 JF - Eye & contact lens JO - Eye Contact Lens VL - 44 Suppl 1 N2 - OBJECTIVES: Ocular infections due to Achromobacter xylosoxidans are extremely uncommon; their diagnosis is a challenge and the optimal treatment remains controversial. We present a case of A. xylosoxidans in a contact lens user and a review of the literature to facilitate diagnostic suspicion and empirical therapeutic management. METHODS: Review of the literature in PubMed and MEDLINE. We also document a case diagnosed in our department in January 2016. SETTING: Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain. RESULTS: According to the literature, clinical manifestations and antibiotic sensitivity of A. xylosoxidans varied greatly. Our patient with no history of keratopathy presented three risk factors that made the diagnosis suspicious. The infection was resolved with topical moxifloxacin and fluorometholone. CONCLUSIONS: A. xylosoxidans is an uncommon cause of infection, but must be suspected in atypical keratitis, reported contact with warm or still waters, use of contact lenses, or previous corneal damage. In these cases, microbiological studies and antibiotic sensitivity testing are particularly important. SN - 1542-233X UR - https://www.unboundmedicine.com/medline/citation/28350622/Keratitis_Due_to_Achromobacter_xylosoxidans_in_a_Contact_Lens_User_ L2 - https://doi.org/10.1097/ICL.0000000000000370 DB - PRIME DP - Unbound Medicine ER -