Secondary bacterial corneal infection caused by Myroides species in primary fungal keratitis.

Autor: Malepati N; Shantilal Shanghvi Cornea Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India., Mitra S; Jhaveri Microbiology Center, LV Prasad Eye Institute, Hyderabad, Telangana, India., Chandran K; Shantilal Shanghvi Cornea Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India., Shanbhag SS; Shantilal Shanghvi Cornea Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India swapnashanbhag@lvpei.org.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2024 May 06; Vol. 17 (5). Date of Electronic Publication: 2024 May 06.
DOI: 10.1136/bcr-2023-258474
Abstrakt: A middle-aged male patient presented with a central corneal perforation in a deep stromal infiltrate in his left eye. An emergency therapeutic penetrating keratoplasty was performed. Microbiological evaluation of the corneal scraping specimen revealed septate fungal filaments on stains. However, culture reports after 24 hours from the scraping sample and the excised half corneal button showed growth of gram-negative bacilli. This pathogen was identified as an aerobic, non-fermentative, gram-negative, bacillus by conventional microbiology and confirmed as Myroides species by the VITEK 2 Compact system (bioMérieux, Marcy l'Etoile, France). Susceptibility to chloramphenicol was noted based on which the patient was treated with topical chloramphenicol 0.5%. No recurrence of the infection was noted. This is the first reported case of corneal infection with the Myroides species of bacteria which, heretofore, have been known to cause endocarditis and urinary tract infections.
Competing Interests: Competing interests: None declared.
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Databáze: MEDLINE