Demographic study of expulsive hemorrhages in 3 patients with infectious keratitis.
OBJECTIVE
To investigate the demography, causative bacteria, and clinical findings in 3 patients with expulsive hemorrhage.


METHODS
The clinical records of 3 patients (3 eyes), who developed expulsive hemorrhage because of infectious keratitis and were treated at our hospital between December 2006 and January 2008, were investigated retrospectively.


RESULTS
Three women, older than 70 years, with physical and mental disabilities because of senile dementia were studied. Two were residents at a nursing home. Basic corneal disorders included bullous keratopathy, cicatricial syphilitic keratitis, and traumatic keratitis because of a foreign body. All patients developed expulsive hemorrhage. Two patients underwent enucleation, and 1 underwent bulbar exenteration with sclerocorneal patch for expulsive hemorrhage. Bacterial culture in these cases isolated either Capnocytophaga sp. and penicillin-intermediate resistant Streptococcus pneumoniae or methicillin-resistant Staphylococcus aureus.


CONCLUSIONS
This is the first recorded case of Capnocytophaga keratitis in Japan. Patients with dementia may develop severe ocular complications after infectious keratitis because of their inability to communicate.
Division of Ophthalmology, Department of Visual Sciences, Nihon University School of Medicine, Ohyaguchi-kamimachi Itabashi-ku, Tokyo, Japan. tai@med.nihon-u.ac.jp
Taiki
T
Oshida
Yumi
Y
Kamura
Mitsuru
M
Sawa
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002206:Capnocytophaga / Q000302:isolation & purification; D057112:Corneal Perforation / Q000382:microbiology / Q000601:surgery; D003320:Corneal Ulcer / Q000382:microbiology* / Q000628:therapy; D004359:Drug Therapy, Combination; D015353:Eye Enucleation; D005130:Eye Hemorrhage / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000382:microbiology* / Q000628:therapy; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D011008:Pneumococcal Infections / Q000382:microbiology* / Q000628:therapy; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000382:microbiology* / Q000628:therapy; D013296:Streptococcus pneumoniae / Q000302:isolation & purification
D000900:Anti-Bacterial Agents