Comamonas acidovorans keratitis in a hydrogel contact lens wearer.
OBJECTIVE
To present an unusual case of keratitis in a patient who wears hydrogel contact lenses that are replaced on a monthly basis. The agent isolated was Comamonas acidovorans, a species of Pseudomonas.


RESULTS
A 40-year-old patient who wears hydrogel contact lenses that are replaced on a monthly basis presented with a red eye. The patient reported that the eye had been red for 2 days. A peripheral corneal stromal infiltrate was found and Comamonas acidovorans was isolated in culture. The patient was initially treated with high-dose gentamicin. After the results of cultures and sensitivity studies were obtained, she was given ciprofloxacin, leading to the remission of the case.


CONCLUSIONS
Comamonas acidovorans should be considered as a possible agent of keratitis in hydrogel contact lens wearers-a culture and sensitivity studies may be indicated.
Lema
I
I
Instituto Galego de Oftalmoloxía, Universidad de Santiago de Compostela, Spain.
Gómez-Torreiro
M
M
Rodríguez-Ares
M T
MT
D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D003262:Contact Lenses, Extended-Wear / Q000382:microbiology*; D020605:Delftia acidovorans / Q000302:isolation & purification*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008826:Microbial Sensitivity Tests
D000890:Anti-Infective Agents; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D002939:Ciprofloxacin