Corneal ulcer of the side port after phacoemulsification induced by Acinetobacter baumannii.
A 75-year-old man had clear corneal phacoemulsification using a temporal approach in the left eye. Two months after surgery, a focal corneal epithelial defect developed with infiltration near the lower limbus on the site of the side-port incision. The culture of corneal scrapping grew Acinetobacter baumannii, which is resistant to most ordinary antibiotics in sensitivity tests. After appropriate antibiotic treatment, the ulcer healed gradually with vessel ingrowth. Acinetobacter baumannii is usually found in nosocomial infection of immune-compromised patients in the intensive care unit. It is a rare pathogen of infectious keratitis. Our case, with its unusual infection site, may point to potential risk factors for this pathogen.
Kau
Hui-Chuan
HC
Department of Ophthalmology, Veterans Hospital, Taoyuan, People's Republic of China.
Tsai
Chieh-Chih
CC
Kao
Shu-Ching
SC
Hsu
Wen-Ming
WM
Liu
Jorn-Hon
JH
D000150:Acinetobacter / Q000302:isolation & purification*; D000151:Acinetobacter Infections / Q000188:drug therapy / Q000209:etiology; D000368:Aged; D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002442:Ceftazidime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D003320:Corneal Ulcer / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D009883:Ophthalmic Solutions; D018918:Phacoemulsification / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D009883:Ophthalmic Solutions; D000583:Amikacin; D002442:Ceftazidime