[Nosocomial pseudomonas aeruginosa-associated keratitis in soft contact lens wearer].

Abstract

BACKGROUND:

Pseudomonas aeruginosa is the most common cause of bacterial-associated keratitis in soft contact lens wearers, due to wrong use of soft contact lenses. Problems are often severe corneal ulcers and even corneal perforations. We report on a soft contact lens wearer with credibly correct use of soft contact lenses and nosocomial Pseudomonas aeruginosa-associated keratitis.

CASE REPORT:

A 33-year old woman suffered from corneal ulcer and corneal infiltration with beginning endophthalmitis 2 days after having used of new soft contact lenses. After systemic and local antibiosis and penetrating keratoplasty we could stop endophthalmitis before reaching the vitreous and retina.

RESULTS:

Histological and microbiological examinations showed a corneal ulcer with severe corneal infection due to Pseudomonas aeruginosa with resistance to mezlocillin and intermediale resistance to gentamicin. After therapy a stable situation with visual acuity of 20/60 was attained.

CONCLUSIONS:

Previous reports on Pseudomonas aeruginosa-associated keratitis in soft contact lens wearers demonstrate corneal problems due to extended or overnight wear or unsuccessful contact lens cleaning. We present a case of nosocomial corneal infection after soft contact lens wearing and nosocomial infection because of contact with a partner working in an intensive-care unit. Hygienic rules should be strictly followed by patients and staff using soft or hard contact lenses for visual correction or for therapeutic reasons.

• Authors: Claudia Grünauer-Kloevekorn, Frank Wilhelm, Gernot I W Duncker, Thomas Hammer
• Journal: Klinische Monatsblatter fur Augenheilkunde (Klin Monbl Augenheilkd) Vol. 221 Issue 1 Pg. 52-5 (Jan 2004) ISSN: 0023-2165 [Print] Germany
• Vernacular Title: Nosokomiale Pseudomonas-aeruginosa-assoziierte Keratitis nach Tragen weicher Kontaktlinsen.
• PMID: 14745680 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Adult
• Anti-Bacterial Agents
• Combined Modality Therapy
• Contact Lenses, Hydrophilic (microbiology)
• Corneal Ulcer (diagnosis, drug therapy, microbiology)
• Cross Infection (diagnosis, drug therapy, transmission)
• Drug Resistance, Multiple
• Drug Therapy, Combination (therapeutic use)
• Endophthalmitis (diagnosis, drug therapy, transmission)
• Humans
• Keratitis (diagnosis, drug therapy, microbiology)
• Keratoplasty, Penetrating
• Male
• Pseudomonas Infections (transmission)
• Pseudomonas aeruginosa