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Acute exacerbation of staphylococcal catarrhal infiltration associated with treatment for Pseudomonas aeruginosa keratitis: A case report.

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Author(s)
Seung Pil BangJong Hwa Jun
Keimyung Author(s)
Jun, Jong Hwa
Department
Dept. of Ophthalmology (안과학)
Journal Title
Medicine
Issued Date
2018
Volume
97
Issue
22
Keyword
catarrhal infiltrationkeratitismarginalPseudomonas aeruginosaStaphylococcus
Abstract
RATIONALE:

Simultaneous presentation of peripheral infiltrates, which can be easily misidentified as satellite lesions, is rarely observed in patients with acute infectious keratitis.

PATIENT CONCERNS:

A 70-year-old woman was referred to our clinic due to acute mucopurulent keratitis following application of a therapeutic soft contact lens for the treatment of epithelial defects caused by entrance of soil foreign bodies into the eye. The patient was diagnosed with Pseudomonas keratitis, following which she was treated with alternating administration of fourth-generation fluoroquinolone (Vigamox) and 5% fortified ceftazidime eyedrops every 2 hours. Although infectious keratitis rapidly improved, discrete catarrhal infiltrates at the corneolimbal junction (10- to 2-o'clock and 7- to 8-o'clock positions) were rapidly aggravated, forming bead-like stromal pustules inversely proportional to the extent of Pseudomonas keratitis.

DIAGNOSIS:

Acute exacerbation of staphylococcal catarrhal infiltration associated with treatment for Pseudomonas aeruginosa keratitis.

INTERVENTIONS:

Addition of 1% prednisone acetate eyedrops (Pred Forte) four times per day.

OUTCOMES:

Dramatic improvement was observed at the sites of catarrhal infiltration without recurrence of infectious keratitis.

LESSONS:

Clinicians should thus remain aware of the risk for co-occurring non-infectious, immune-related keratitis, as treatment for infectious keratitis may induce significant aggravation of non-infectious keratitis
Keimyung Author(s)(Kor)
전종화
Publisher
School of Medicine (의과대학)
Citation
Seung Pil Bang and Jong Hwa Jun. (2018). Acute exacerbation of staphylococcal catarrhal infiltration associated with treatment for Pseudomonas aeruginosa keratitis: A case report. Medicine, 97(22), e10753–e10753. doi: 10.1097/MD.0000000000010753
Type
Article
ISSN
0025-7974
Source
https://insights.ovid.com/pubmed?pmid=29851781
DOI
10.1097/MD.0000000000010753
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41056
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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