A Case of Citrobacter Freundii Conjunctivitis.

Han, Sueng Han; Kim, Hong Bok; Cho, Young Muk

Case Report

Journal of the Korean Ophthalmological Society 1987;28(3):657-659.
Published online March 1, 1987.

A Case of Citrobacter Freundii Conjunctivitis.

Sueng Han Han, Hong Bok Kim, Young Muk Cho

Department of Ophthalmology, Yonsei University, College of Medicine, Seoul, Korea.

Citrobacter Freundii 에 의한 결막염 1 예

김홍복(Hong Bok Kim),한승한(Sueng Han Han),조영묵(Young Muk Cho)

Abstract

We shall devide the specific types of conjunctivitis into four main categories: (1) infectious conditions, (2) allergic conditions, (3) irritative conditions, and (4) inflammations occuring in association with diseases of the skin and mucous membranes. Bacterial conjunctivitis is the most common types of infections conjunctivitis. The common causes of bacterial conjunctivitis are Moraxella, Hemophillus, Staphylococcus, Streptococcus, Pneumococcus, Gonococcus, Corynebacterium diphtheriae. The genus citrobacter is closely related to the Salmonella-Arizona group of Entrobacteriaceae. They are usually recovered as commensals or as secondary pathogens from patients with altered host defences. The most commonly involved sites are the urinary and respiratory tracts. A 6 month old Korean male was found to hyperacute conjunctivitis OU which had developed for about 15days. Citrobacter freundii was recovered from the conjunctival exudate through smear, culture and biochemical study. Beside his conjunctivitis OU, this child was physically healthy and not found to have immunodeficiency. The conjunctivitis was treated and recovered with topical 0.5% Gentamycin and amoxycyillin 400mg.