Acute interface infectious keratitis with multidrug resistant Klebsiella and Escherichia Coli following deep anterior lamellar keratoplasty

Autor:	Soham Basak, Samar K Basak, Suman Saha
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	deep anterior lamellar keratoplasty interface infection multidrug resistance therapeutic keratoplasty Ophthalmology RE1-994
Zdroj:	Indian Journal of Ophthalmology, Vol 68, Iss 8, Pp 1678-1680 (2020)
Druh dokumentu:	article
ISSN:	0301-4738 1998-3689
DOI:	10.4103/ijo.IJO_2348_19
Popis:	Acute interface infectious keratitis (AIIK) is a rare and devastating complication following lamellar keratoplasty. Here, we report a case of AIIK following deep anterior lamellar keratoplasty (DALK) caused by double gram-negative bacilli and required urgent therapeutic penetrating keratoplasty (TPK). Microbiology revealed co-infection with Klebsiella and E. Coli sensitive only to colistin. Donor rim culture also grew Klebsiella. TPK was successful in controlling the infection and the patient responded to topical fortified amikacin and ciprofloxacin. Since optical quality tissue was used, the patient regained 20/40 vision postoperatively. This report highlights that immediate TPK and intense antimicrobial therapy can salvage these eyes with good visual outcome.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/48ea291a10844f04a6e6d13c83d1bfad Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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