A rare polymicrobial keratitis involving Chryseobacterium meningosepticum and Delftia acidovorans in a cosmetic contact lens wearer.
OBJECTIVE
To report an unusual case of keratitis in a cosmetic contact lens wearer caused by two rare organisms.


METHODS
Case report.


RESULTS
A 14-year-old cosmetic contact lens user presented with a paracentral corneal ulcer in her right eye. The cosmetic lenses were bought online. The cultures from corneal scrapings and contact lenses demonstrated heavy growth of Chryseobacterium meningosepticum and Delftia acidovorans. The treatment with topical ciprofloxacin and fortified gentamicin was effective, and the infection resolved with corneal scar after 5 weeks.


CONCLUSIONS
Use of cosmetic contact lenses and buying them online is a fairly common practice among teenagers. This can lead to serious eye infection as in this case. To our knowledge, this is the first report of contact lens-related keratitis simultaneously involving these two rare organisms.
Department of Ophthalmology, National University Hospital, Singapore 119228, USA. mantoshr@yahoo.com
Manotosh
M
Ray
Dawn Ka
DK
Lim
D000293:Adolescent; D045247:Chryseobacterium / Q000302:isolation & purification*; D060085:Coinfection; D003261:Contact Lenses / Q000382:microbiology*; D003320:Corneal Ulcer / Q000382:microbiology*; D020605:Delftia acidovorans / Q000302:isolation & purification*; D015818:Eye Infections, Bacterial / Q000382:microbiology*; D005260:Female; D045826:Flavobacteriaceae Infections / Q000209:etiology; D016905:Gram-Negative Bacterial Infections / Q000209:etiology*; D006801:Humans