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Infectious Keratitis Caused by Shewanella Putrefaciens
Shewanella Putrefaciens에 의한 감염각막염
JKOS 2019 Aug;60(8):787-91
Published online August 15, 2019;  https://doi.org/10.3341/jkos.2019.60.8.787
Copyright © 2019 The Korean Ophthalmological Society.
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Tae Kyu Moon, MD, Yong-Sok Ji, MD, PhD, Kyung Chul Yoon, MD, PhD
문태규 · 지영석 · 윤경철

Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea
전남대학교 의과대학 안과학교실
Received December 20, 2018; Revised January 21, 2019; Accepted July 18, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: We report a case of infectious keratitis caused by Shewanella putrefaciens in a patient after fishing.
Case summary: A 75-year-old male with no underlying disease other than hypertension was admitted to our hospital because of decreased visual acuity and congestion in his left eye for 2 weeks. At the first ophthalmic examination, the best-corrected visual acuity (BCVA) of the left eye was counting fingers. Slit lamp examination showed stromal infiltrates with 2.0 × 2.0 mm corneal epithelial defects, endothelial inflammatory plaques and 1 mm height hypopyon with severe inflammation in the anterior chamber. Bacterial culture tests were performed by corneal scraping, which were positive for Shewanella putrefaciens, followed by treatment with moxifloxacin and ceftazidime topical antibiotics. After 2 months of treatment, the BCVA of the left eye improved to 0.4 and the corneal lesion clinically improved with residual mild stromal opacity.
Conclusions: Shewanella putrefaciens should be considered as a causal pathogen of infectious keratitis in patients after fishing. We report a case of infectious keratitis caused by Shewanella putrefaciens, which has never previously been reported in the Republic of Korea.
Keywords : Corneal ulcer, Shewanella putrefaciens

 

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