Pasteurella multocida keratitis and corneal laceration from a cat scratch.
A 24-year-old woman was evaluated 12 hours after she sustained a cat scratch to her left eye. Slit-lamp examination revealed a Seidel-positive corneal laceration with a surrounding dense full-thickness corneal ulcer and severe inflammatory reaction. Since the anterior chamber was well formed, it was decided not to repair the laceration on an emergency basis. She was initially treated with intensive topical fortified tobramycin and vancomycin, and intravenous gentamicin and clindamycin. Cultures of the corneal ulcer revealed Pasteurella multocida and the antibiotic regimen was adjusted appropriately. The laceration healed without surgery, and the infection resolved well, with excellent visual acuity.
Cornea Service, Wills Eye Hospital, Philadelphia, Pa 19107.
A C
AC
Ho
C J
CJ
Rapuano
D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002415:Cats; D003315:Cornea / Q000382:microbiology; D065306:Corneal Injuries; D003320:Corneal Ulcer / Q000188:drug therapy / Q000382:microbiology*; D015818:Eye Infections, Bacterial / Q000209:etiology*; D015807:Eye Injuries, Penetrating / Q000150:complications*; D005260:Female; D006801:Humans; D010326:Pasteurella Infections / Q000209:etiology*; D016979:Pasteurella multocida
D000900:Anti-Bacterial Agents