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Infectious crystalline keratopathy caused by Gemella haemolysans.

AbstractPURPOSE:
To report a novel case of infectious crystalline keratopathy after penetrating keratoplasty caused by Gemella haemolysans.
METHODS:
Observational case report. Patient notes and literature review.
RESULTS:
A 51-year-old woman presented with the clinical picture of infectious crystalline keratopathy 18 months after a second penetrating keratoplasty was performed for corneal decompensation secondary to recurrent herpes simplex infection. Corneal biopsy yielded a heavy growth of G. haemolysans. Initial treatment was made up of frequent topical vancomycin 0.5% and was later changed to topical cefuroxime 5% and ofloxacin 0.3%. Snellen visual acuity after complete resolution of the keratitis was 6/60 as a result of a residual corneal scar.
CONCLUSIONS:
Gemella haemolysans may be an etiologic agent in infectious crystalline keratopathy. A corneal biopsy may be diagnostic but may also promote healing by allowing direct access of antibiotics to deep-seated infected tissue and by altering the growth environment of the organism.
AuthorsAnusha Kailasanathan, David F Anderson
JournalCornea (Cornea) Vol. 26 Issue 5 Pg. 643-4 (Jun 2007) ISSN: 0277-3740 [Print] United States
PMID17525671 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Bacterial Agents
  • Ofloxacin
  • Cefuroxime
Topics
  • Anti-Bacterial Agents (therapeutic use)
  • Cefuroxime (therapeutic use)
  • Colony Count, Microbial
  • Corneal Diseases (diagnosis, drug therapy, microbiology)
  • Drug Therapy, Combination
  • Eye Infections, Bacterial (diagnosis, drug therapy, microbiology)
  • Female
  • Gram-Positive Bacterial Infections (diagnosis, drug therapy, microbiology)
  • Humans
  • Microbial Sensitivity Tests
  • Middle Aged
  • Ofloxacin (therapeutic use)
  • Staphylococcaceae (drug effects, isolation & purification)

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