Polymicrobial keratitis secondary to Burkholderia ambifaria, enterococcus, and staphylococcus aureus in a patient with herpetic stromal keratitis.
Am J Ophthalmol
; 136(4): 748-9, 2003 Oct.
Article
en En
| MEDLINE
| ID: mdl-14516823
ABSTRACT
PURPOSE:
To report polymicrobial keratitis in a patient with herpetic stromal keratitis. The initial infecting organism, Burkholderia ambifaria, has not previously been reported to cause microbial keratitis.METHODS:
Clinical evaluation and corneal culture were performed.RESULTS:
A 59-year-old-man undergoing topical corticosteroid therapy for herpes simplex stromal keratitis developed corneal infection with B. ambifaria. The organism was reisolated 12 days after initiation of hourly therapy with topical levofloxacin 0.5%. At reculture Staphylococcus aureus and Enterococcus spp. were also isolated. The addition of topical amikacin and vancomycin led to resolution of the microbial keratitis.CONCLUSIONS:
Burkholderia ambifaria infected a compromised cornea, exhibited an unusual sensitivity profile, and remained viable after 12 days of therapy with an antibiotic to which it was sensitive by in vitro tests.
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Banco de datos:
MEDLINE
Asunto principal:
Infecciones Estafilocócicas
/
Staphylococcus aureus
/
Infecciones Bacterianas del Ojo
/
Queratitis Herpética
/
Enterococcus
/
Infecciones por Burkholderia
/
Burkholderia
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Ophthalmol
Año:
2003
Tipo del documento:
Article
País de afiliación:
Estados Unidos