Methicillin-resistant Staphylococcus aureus sclerokeratitis after pterygium excision.
OBJECTIVE
To report a case of methicillin-resistant Staphylococcus aureus (MRSA) sclerokeratitis after pterygium excision.


METHODS
Case report.


RESULTS
A 72-year-old woman who had undergone pterygium excision 6 months ago was referred for severe pain and decreased visual acuity. Although infectious scleritis caused by Pseudomonas was diagnosed clinically, and intravenous amikacin and ceftazidime and topical ciprofloxacin were started, there was no improvement. MRSA was grown in a cultured test, and topical and systemic vancomycin was applied and resolved the corneoscleral inflammation. Scleral patch graft and sliding conjunctival flap were performed, and no complications or recurrences were found through 14 months after treatment.


CONCLUSIONS
MRSA should be considered as a possible organism in infectious scleritis after pterygium excision, especially when beta-lactam antibiotic therapy is ineffective.
Lee
Ji-Eun
JE
From the Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea.
Oum
Boo Sup
BS
Choi
Hee Young
HY
Lee
Jong Soo
JS
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology*; D008712:Methicillin / Q000494:pharmacology; D016106:Methicillin Resistance; D008826:Microbial Sensitivity Tests; D011183:Postoperative Complications; D011625:Pterygium / Q000601:surgery*; D015423:Scleritis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014640:Vancomycin; D008712:Methicillin