title: A case of acute postoperative keratitis after deep anterior lamellar keratoplasty by multidrug resistant Klebsiella.
abstract: A healthy lady of 42 years underwent deep anterior lamellar keratoplasty for granular dystrophy. The very next day, it was complicated by development of infectious keratitis. The organism was identified as multidrug resistant Klebsiella pneumoniae. Donor corneal button may be implicated in the transmission of infection in an otherwise uneventful surgery and follow-up. Nosocomial infections are usually severe, rapidly progressive and difficult to treat. Finally, the lady had to undergo therapeutic penetrating keratoplasty for complete resolution of infection.
authors.affiliation: Department of Cornea, Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
authors.forename: Leena
authors.initials: L
authors.lastname: Bajracharya
authors.forename: Binita
authors.initials: B
authors.lastname: Sharma
authors.forename: Reeta
authors.initials: R
authors.lastname: Gurung
mesh_terms: D000328:Adult; D003315:Cornea / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D003317:Corneal Dystrophies, Hereditary / Q000601:surgery; D018432:Drug Resistance, Multiple; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D007710:Klebsiella Infections / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D014792:Visual Acuity