Achromobacter xylosoxidans corneal ulcer in a therapeutic soft contact lens wearer.
Achromobacter xylosoxidans is an opportunistic organism that is usually seen in immunocompromised or immunosuppressed patients. It is an aerobic gram-negative rod, often confused with other more commonly seen gram-negative bacteria such as Pseudomonas aeruginosa. The organism is usually sensitive to extended spectrum penicillins such as carbenicillin and usually resistant to aminoglycosides and first generation cephalosporins. We wish to describe a corneal ulcer from A. xylosoxidans that developed in a patient wearing a therapeutic soft contact lens. The patient did not have a preexisting microbial keratitis and was not receiving corticosteroid therapy.
Fiscella
R
R
Department of Pharmacy Practice, University of Illinois Eye and Ear Infirmary, Chicago 60612.
Noth
J
J
D000368:Aged; D000369:Aged, 80 and over; D000421:Alcaligenes / Q000302:isolation & purification*; D001424:Bacterial Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D002228:Carbenicillin / Q000627:therapeutic use; D003263:Contact Lenses, Hydrophilic / Q000009:adverse effects*; D003320:Corneal Ulcer / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans
D002228:Carbenicillin