A Case of Achromobacter Xylosoxidans Keratitis.

Kim, You Ra; You, In Cheon; Lee, Hye Soo

doi:2011.52.11.1362

J Korean Ophthalmol Soc > Volume 52(11); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(11):1362-1365.
DOI: https://doi.org/10.3341/jkos.2011.52.11.1362 Published online November 15, 2011.

A Case of Achromobacter Xylosoxidans Keratitis.

You Ra Kim, In Cheon You, Hye Soo Lee

¹Department of Ophthalmology, Chonbuk National University School of Medicine, Jeonju, Korea. you2ic@paran.com
²Department of Laboratory Medicine, Chonbuk National University School of Medicine, Jeonju, Korea.

아크로모박테르 자일로속시단스에 의한 각막궤양 1예

김유라¹⋅유인천¹⋅이혜수²

Departments of Ophthalmology¹ and Laboratory Medicine², Chonbuk National University School of Medicine, Jeonju, Korea

Abstract

PURPOSE
To report a case of corneal ulcer caused by Achromobacter xylosoxidans in a farmer. CASE SUMMARY: A previously healthy 68-year-old man presented with unilateral redness and irritation after his eye was grazed by a cow's tail. The patient had previously been treated in a local clinic for four days without improvement. Bacterial staining, culture, and an antibiotic sensitivity test were performed from a corneal scrape. The cultures revealed growth of A. xylosoxidans. The patient was treated with moxifloxacin and ceftazidime eyedrops. After three months of treatment, the infection was resolved with mild scarring. CONCLUSIONS: Although it is a rare pathogen, A. xylosoxidans should be considered as a potential pathogen in patients presenting with corneal ulceration due to trauma from an object contaminated by soil or animal feces and having a slowly progressive disease and localized infiltrate but showing Gram-negative bacilli on smear examination.

Key Words: Achromobacter xylosoxidans;Corneal ulcer;Gram-negative bacilli;Soil