Achromobacter xylosoxidans keratitis following penetrating keratoplasty.
BACKGROUND
Achromobacter xylosoxidans is a bacterium not previously reported in a corneal infection. We present a case of infectious keratitis caused by this organism, occurring 1 month following penetrating keratoplasty.


METHODS
Identification of the organism was accomplished by staining, culture, and sensitivity testing of the corneal scraping obtained from the involved area. The infection responded to subconjunctival ticarcillin, piperacillin eye drops, and I.V. azlocillin.


RESULTS
Complete healing with a resultant corneal opacity involving mostly the anterior and middle stroma was achieved 1 month later.


CONCLUSIONS
A. xylosoxidans should be considered as a potential pathogen in instances of early postkeratoplasty infectious keratitis.
Siganos
D S
DS
University of Crete-School of Health Sciences, Department of Ophthalmology, Greece.
Tselentis
I G
IG
Papatzanaki
M E
ME
Tsilimbaris
M K
MK
Pallikaris
I G
IG
D000328:Adult; D000421:Alcaligenes; D015818:Eye Infections, Bacterial / Q000382:microbiology*; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology*; D006801:Humans; D007634:Keratitis / Q000382:microbiology*; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male