title: Mycobacterium chelonae keratitis after laser-assisted subepithelial keratectomy.
abstract: A 24-year-old man with myopic astigmatism had uncomplicated laser-assisted subepithelial keratectomy (LASEK) in October 2004. Approximately 4 weeks later, a foreign-body sensation and redness developed in the left eye. A paracentral anterior stromal infiltrate was observed, and Gram stain on the day of presentation showed branching filamentous gram-positive rods. Cultures subsequently grew Mycobacterium chelonae. Topical tobramycin 15 mg/mL, azithromycin 2 mg/mL, amikacin 25 mg/mL, and cefazolin 50 mg/mL were initiated based on Gram stain results. We believe this is the first documented case of M chelonae keratitis after LASEK.
authors.affiliation: Tripler Army Medical Center, Department of Ophthalmology, Honolulu, Hawaii 96789, USA.
authors.forename: Brandon
authors.initials: B
authors.lastname: Rodriguez
authors.forename: Karl A
authors.initials: KA
authors.lastname: Holzinger
authors.forename: Lam H
authors.initials: LH
authors.lastname: Le
authors.forename: R Kevin
authors.initials: RK
authors.lastname: Winkle
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Allen
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001251:Astigmatism / Q000601:surgery; D003319:Corneal Stroma / Q000382:microbiology*; D003320:Corneal Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D049008:Keratectomy, Subepithelial, Laser-Assisted / Q000009:adverse effects*; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D009216:Myopia / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents