Rhodococcus globerulus keratitis after laser in situ keratomileusis.
A healthy 20-year-old woman with myopia had uneventful bilateral laser in situ keratomileusis after which the uncorrected visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fifteen days later, a stromal paraxial lesion was found in the right eye with a corresponding loss of visual acuity, pain, and photophobia. The flap was lifted and the infiltrate scraped for smears. Cultures showed that Rhodococcus globerulus was the infectious agent. Intensive topical antibiotic treatment was applied with good visual results.
Cuello
Osvaldo H
OH
Fundación VER, Correo General, 5000 Córdoba, Argentina.
Caorlin
M Josefina
MJ
Reviglio
Victor E
VE
Carvajal
Lydia
L
Juarez
Claudio P
CP
Palacio de Guerra
Esther
E
Luna
José D
JD
D000193:Actinomycetales Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D000583:Amikacin / Q000627:therapeutic use; D003319:Corneal Stroma / Q000382:microbiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D012240:Rhodococcus / Q000302:isolation & purification*; D013524:Surgical Flaps / Q000382:microbiology; D014640:Vancomycin / Q000627:therapeutic use
D014640:Vancomycin; D000583:Amikacin