A Case of Corneal Ulcer by Alcaligenes Faecalis.

Hwang, Jeong Ho; Kim, Min Jung; Kweon, Eui Yong; Ahn, Min; You, In Cheon

doi:2009.50.9.1414

J Korean Ophthalmol Soc > Volume 50(9); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(9):1414-1417.
DOI: https://doi.org/10.3341/jkos.2009.50.9.1414 Published online September 15, 2009.

A Case of Corneal Ulcer by Alcaligenes Faecalis.

Jeong Ho Hwang, Min Jung Kim, Eui Yong Kweon, Min Ahn, In Cheon You

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. you2ic@paran.com

알칼리제네스 페칼리스에 의한 각막궤양 1예

황정호ㆍ김민정ㆍ권의용ㆍ안민ㆍ유인천

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea

Abstract

PURPOSE
To report a case of corneal ulcer due to Alcaligenes faecalis in a patient with a preexisting corneal ulcer. CASE SUMMARY: A 58-year-old male patient presented with a corneal ulcer without a history of any trauma. The patient had a history of corneal ulcer 9 months earlier. The patient had previously been diagnosed with diabetic retinopathy and neovascular glaucoma, and his visual acuity was no light perception. Corneal scraping and culture yielded Alcaligenes faecalis susceptible to most antibiotics in the antibiotic susceptibility test. After treatment with empirical systemic antibiotics and eyedrops, his eye improved with a remaining corneal scar. CONCLUSIONS: Alcaligenes faecalis should be considered as a causal pathogen of corneal ulcer in patients with suspicious compromised ocular surface, such as previous corneal ulcer.

Key Words: Alcaligenes faecalis;Corneal ulcer;Compromised ocular surface