Rare Case of Polymicrobial Keratitis With Balantidium coli.
Cornea
; 35(12): 1665-1667, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27560034
ABSTRACT
PURPOSE:
To report a rare case of polymicrobial keratitis due to Balantidium coli and gram-negative bacteria, Pseudomonas aeruginosa and Klebsiella pneumoniae, in a soft contact lens (CL) wearer.METHODS:
We report a case of CL-related keratitis due to B. coli, P. aeruginosa, and K. pneumoniae.RESULTS:
The culture of the corneal scrapings, the CL cleaning solution, and the CL revealed the growth of a rare ciliated parasite, B. coli, along with gram-negative bacteria, namely, P. aeruginosa and K. pneumoniae. The patient was successfully treated with topical broad-spectrum antibiotics and intravenous metronidazole.CONCLUSIONS:
Polymicrobial keratitis has seldom been reported with B. coli as the causative agent. CL wear can be a risk factor for this infection. Treatment with topical antibiotics may not suffice, and the intravenous route of antiprotozoal drugs may be a useful adjunct. Increasing awareness, early diagnosis, and treatment may improve the final visual outcome.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Balantidíase
/
Balantidium
/
Infecções Oculares Bacterianas
/
Infecções Oculares Parasitárias
/
Úlcera da Córnea
/
Coinfecção
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article