Abstract | PURPOSE: To report the first documented case of keratitis secondary to the gram-negative bacillus Brevundimonas diminuta. METHODS: A 66-year-old woman with an ocular history of bilateral soft contact lens wear presented with a large, 6×9-mm, culture-positive Pseudomonas aeruginosa-induced corneal ulcer. After weeks of therapy, she developed secondary keratitis. Repeat cultures grew a rare, gram-negative bacillus, B. diminuta. RESULTS: Targeted therapy followed by adjustments based on repeat bacterial cultures with sensitivities resulted in slow resolution of the ulcer. After months of therapy, the cornea recovered leaving only a minimal corneal scar. Visual acuity improved from a low of Hand Motions to a final 20/40. CONCLUSIONS:
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Authors | Rahul T Pandit |
Journal | Eye & contact lens
(Eye Contact Lens)
Vol. 38
Issue 1
Pg. 63-5
(Jan 2012)
ISSN: 1542-233X [Electronic] United States |
PMID | 21617535
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Aged
- Anti-Bacterial Agents
(therapeutic use)
- Caulobacteraceae
(isolation & purification)
- Female
- Gram-Negative Bacterial Infections
(diagnosis)
- Humans
- Keratitis
(microbiology)
- Visual Acuity
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