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Posttraumatic Keratitis Caused by Elizabethkingia meningosepticum

Erdem, Elif M.D.; Abdurrahmanoglu, Sibel M.D.; Kibar, Filiz M.D.; Yagmur, Meltem M.D.; Koksal, Fatih M.D.; Ersoz, Reha M.D.

doi: 10.1097/ICL.0b013e318291d171
Case Report

Objective: To present a case of bacterial keratitis caused by Elizabethkingia meningosepticum in an eye after trauma.

Method: Case report.

Result: A 45-year-old woman was referred to our cornea clinic for keratitis, which had developed following nonpenetrating eye trauma from a tree branch. Cultures from a corneal smear demonstrated heavy growth of E. meningosepticum. Treatment with a combination of topical moxifloxacin and topical trimethoprim/polymyxin B effectively controlled the corneal ulcer. Corneal infection resolved within 2 months, but a central corneal scar and vascularization remained.

Conclusions: E. meningosepticum is an opportunistic bacterium and gives rise to severe systemic infections in immunocompromised patients. Ocular infections caused by this bacterium are extremely rare in the literature. To our knowledge, this is the first report of posttraumatic keratitis caused by E. meningosepticum.

Ophthalmology Department (E.E., S.A., M.Y., R.E.) and Microbiology Department (F. Kibar, F. Koksal), Faculty of Medicine, Cukurova University, Balcalı-Adana, Turkey.

Address correspondence to Elif Erdem, M.D., Ophthalmology Department, Faculty of Medicine, Cukurova University, Balcalı-Adana, Turkey; e-mail: elif.erdem.1979@gmail.com

There authors have no funding or conflicts of interest to disclose.

Accepted March 12, 2013

© 2013 Contact Lens Association of Ophthalmologists, Inc.