A Case of Chronic Dacryocystitis Caused by Achromobacter Xylosoxidans.

Kim, Che Ron; Kim, Gyu Nam; Kim, Kyeong Hyeon; Yoo, Ji Myong; Seo, Seong Wook

doi:2011.52.8.979

J Korean Ophthalmol Soc > Volume 52(8); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(8):979-983.
DOI: https://doi.org/10.3341/jkos.2011.52.8.979 Published online August 15, 2011.

A Case of Chronic Dacryocystitis Caused by Achromobacter Xylosoxidans.

Che Ron Kim, Gyu Nam Kim, Kyeong Hyeon Kim, Ji Myong Yoo, Seong Wook Seo

¹Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea. stramast@naver.com
²Institute of Health Science, Gyeongsang National University, Jinju, Korea.

Achromobacter Xylosoxidans에 의한 만성눈물주머니염 1예

김체론¹⋅김규남¹⋅김경현¹⋅유지명^1,2⋅서성욱^1,2

Department of Ophthalmology, Gyeongsang National University School of Medicine¹, Jinju, Korea Institute of Health Science, Gyeongsang National University², Jinju, Korea

Abstract

PURPOSE
To report a case of chronic dacryocystitis caused by Achromobacter xylosoxidans. CASE SUMMARY: A 73-year-old female was referred to our clinic for management of chronic dacryosyctitis from which she did not to recover despite empirical therapy. A. xylosoxidans was isolated from purulent discharge. Based on the results of susceptibility testing, therapy was changed to fortified ceftazidime eye-drop 6 times a day and intravenous tazocin 4.5 g/20 ml (piperacillin 2 g/tazobactam 0.25 g) 3 times a day. All symptoms were resolved after treatment with sensitive antibiotics and external dacryocystorhinostomy. CONCLUSIONS: To our knowledge, this is the first report of A. xylosoxidans dacryocystitis. A. xylosoxidans are rare but potential pathogens which cause dacryocystitis. The cultures and sensitivity test were collected and processed to detect the presence of unusual pathogens in a case with persistent infection despite conventional treatment.

Key Words: Achromobacter xylosoxidans;Dacryocystitis