A case of necrotizing scleritis resulting from Pseudomonas aeruginosa.
OBJECTIVE
The purpose of this study was to report a case of necrotizing scleritis resulting from Pseudomonas aeruginosa with no corneal infiltrate.


RESULTS
A 75-year-old man presented with pain and redness in his left eye accompanied by fever of 3 days' duration. He was receiving chemotherapy for hepatic metastasis of an unknown origin. He presented a necrotizing scleritis with no corneal infiltrate. Scleral cell culture and blood culture were positive for P. aeruginosa. He was treated with oral imipenem and topical fortified ceftazidime. The response was good, but a scleral patch graft was needed to stabilize scleral thinning.


CONCLUSIONS
This is the first case report of infectious scleritis in the context of P. aeruginosa sepsis in the absence of corneal infiltration.
Moreno Honrado
Marta
M
Hospital Sant Pau, 08025 Barcelona, Spain. martamh79@yahoo.com
del Campo
Zoraida
Z
Buil
José A
JA
D000284:Administration, Oral; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D008297:Male; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D015378:Imipenem