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Polymicrobial Infection of the Cornea Due to Contact Lens Wear

A 38-year-old male presented with pain and redness in his left eye. He had a history of wearing contact lenses. His ophthalmic examination revealed a large corneal ulcer with surrounding infiltrate. Cultures were isolated from the contact lenses, lens solutions, storage cases, and conjunctivae of bo...

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Autores principales: Sızmaz, Selçuk, Bingöllü, Sibel, Erdem, Elif, Kibar, Filiz, Koltaş, Soner, Yağmur, Meltem, Ersöz, Reha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082255/
https://www.ncbi.nlm.nih.gov/pubmed/27800266
http://dx.doi.org/10.4274/tjo.03779
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author Sızmaz, Selçuk
Bingöllü, Sibel
Erdem, Elif
Kibar, Filiz
Koltaş, Soner
Yağmur, Meltem
Ersöz, Reha
author_facet Sızmaz, Selçuk
Bingöllü, Sibel
Erdem, Elif
Kibar, Filiz
Koltaş, Soner
Yağmur, Meltem
Ersöz, Reha
author_sort Sızmaz, Selçuk
collection PubMed
description A 38-year-old male presented with pain and redness in his left eye. He had a history of wearing contact lenses. His ophthalmic examination revealed a large corneal ulcer with surrounding infiltrate. Cultures were isolated from the contact lenses, lens solutions, storage cases, and conjunctivae of both eyes and also corneal scrapings of the left eye. Fortified vancomycin and amikacin drops were started hourly. Culture results of conjunctivae of each eye and left cornea were positive for Pseudomonas aeruginosa; cultures from the contact lenses, lens solution and storage case of both eyes revealed Pseudomonas aeruginosa and Alcaligenes xylosoxidans. Polymerase chain reaction of the corneal scraping was positive for Acanthameoba. The topical antibiotics were changed with ones that both bacteria were sensitive to and anti-amoebic therapy was added. The patient had two recurrences following initial presentation despite intensive therapy. Keratitis occurred due to multiple pathogens; the relapsing course despite adequate therapy is potentially associated with this polymicrobial etiology.
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spelling pubmed-50822552016-10-31 Polymicrobial Infection of the Cornea Due to Contact Lens Wear Sızmaz, Selçuk Bingöllü, Sibel Erdem, Elif Kibar, Filiz Koltaş, Soner Yağmur, Meltem Ersöz, Reha Turk J Ophthalmol Case Report A 38-year-old male presented with pain and redness in his left eye. He had a history of wearing contact lenses. His ophthalmic examination revealed a large corneal ulcer with surrounding infiltrate. Cultures were isolated from the contact lenses, lens solutions, storage cases, and conjunctivae of both eyes and also corneal scrapings of the left eye. Fortified vancomycin and amikacin drops were started hourly. Culture results of conjunctivae of each eye and left cornea were positive for Pseudomonas aeruginosa; cultures from the contact lenses, lens solution and storage case of both eyes revealed Pseudomonas aeruginosa and Alcaligenes xylosoxidans. Polymerase chain reaction of the corneal scraping was positive for Acanthameoba. The topical antibiotics were changed with ones that both bacteria were sensitive to and anti-amoebic therapy was added. The patient had two recurrences following initial presentation despite intensive therapy. Keratitis occurred due to multiple pathogens; the relapsing course despite adequate therapy is potentially associated with this polymicrobial etiology. Galenos Publishing 2016-04 2016-04-05 /pmc/articles/PMC5082255/ /pubmed/27800266 http://dx.doi.org/10.4274/tjo.03779 Text en ©Turkish Journal of Ophthalmology, Published by Galenos Publishing. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sızmaz, Selçuk
Bingöllü, Sibel
Erdem, Elif
Kibar, Filiz
Koltaş, Soner
Yağmur, Meltem
Ersöz, Reha
Polymicrobial Infection of the Cornea Due to Contact Lens Wear
title Polymicrobial Infection of the Cornea Due to Contact Lens Wear
title_full Polymicrobial Infection of the Cornea Due to Contact Lens Wear
title_fullStr Polymicrobial Infection of the Cornea Due to Contact Lens Wear
title_full_unstemmed Polymicrobial Infection of the Cornea Due to Contact Lens Wear
title_short Polymicrobial Infection of the Cornea Due to Contact Lens Wear
title_sort polymicrobial infection of the cornea due to contact lens wear
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082255/
https://www.ncbi.nlm.nih.gov/pubmed/27800266
http://dx.doi.org/10.4274/tjo.03779
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