Korean J Ophthalmol.  2005 Sep;19(3):233-234. 10.3341/kjo.2005.19.3.233.

A Case of Epidemic Keratoconjunctivitis Complicated by Alcaligenes Xylosoxidans Infection

• Oh JY
• Shin YJ
• Wee WR

• KMID: 754430
• DOI: http://doi.org/10.3341/kjo.2005.19.3.233

Abstract

PURPOSE
To report a case of epidemic keratoconjunctivitis complicated by Alcaligenes xylosoxidans. METHODS: A 37-year-old man suffered epidemic keratoconjunctivitis in both eyes. Eleven days later, he developed a corneal ulcer in his left eye. Bacterial staining, culture, and antibiotics sensitivity test were performed from a corneal scrape. RESULTS: The cultures revealed a growth of Alcaligenes xylosoxidans, and the patient was treated with ceftazidime and levofloxacin, based on the sensitivity test results. After 21 days of treatment, the infection was resolved with mild scaring and final vision in the left eye of 20/20. CONCLUSIONS: Alcaligenes xylosoxidans should be considered a rare but potential pathogen able to produce corneal ulcer complication in epidemic keratoconjunctivitis.

Keyword

Achromobacter xylosoxidans; Alcaligenes xylosoxidans; Corneal ulcer; Epidemic keratoconjunctivitis; Keratitis

MeSH Terms

Male
Keratoconjunctivitis/*complications/pathology
Humans
Gram-Negative Bacterial Infections/*complications/pathology
Corneal Ulcer/*microbiology/pathology
Adult
*Achromobacter denitrificans

Figure

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  Fig. 1 (A) Corneal stromal infiltration with irregular border, corneal edema, and central epithelial defect were observed on presentation. (B) Corneal edema and infiltration disappeared after three weeks of treatment.

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  Fig. 2 Many bacilli with gram-negative staining are evident in the culture media.

Reference

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