Kingella kingae Corneal Infections in Children

Autor: Orli Megged, Jaber Wasim, Yaacov Rozenman, Marc V. Assous, Meital Elimelech
Rok vydání: 2015
Předmět:
Zdroj: Journal of the Pediatric Infectious Diseases Society. 3(1)
ISSN: 2048-7207
Popis: To THE EDITOR—We describe 2 children with Kingella kingae corneal infection. Case 1 A 15-year-old female complained of redness and pain in her right eye. She was wearing soft daily contact lenses. Examination revealed red eye with engorged conjunctival and episcleral vessels and mucupurulent discharge. The cornea had a small stromal infiltrate near the limbus at the 4 o’clock position, with an overlying 2-mm epithelial defect and 4 adjacent punctuate infiltrates without overlying epithelial defects. Inflammatory signs were found in the anterior chamber in the form of cell andflare was graded as plus 2 of 4. The rest of the examination was unremarkable. She was admitted with infected corneal ulcer OD (Oculus Dexter, right eye) to ensure adequate eye drops administration. Culture from the corneal ulcer yielded Kingella kingae. The patient was treated with cefazolin (5%) and gentamicin (1.4%) eye drops every 30 minutes with cyclopentolate (1%) three times per day. She was discharged after 4 days with less than one-half-mm remnants of the ulcer. After 6 weeks of treatment the ulcer healed, leaving a faint corneal scar without visual impairment.
Databáze: OpenAIRE