Acute exacerbation of staphylococcal catarrhal infiltration associated with treatment for Pseudomonas aeruginosa keratitis: A case report

Medicine
Seung Pil Bang, Jong Hwa Jun

Abstract

Simultaneous presentation of peripheral infiltrates, which can be easily misidentified as satellite lesions, is rarely observed in patients with acute infectious keratitis. A 70-year-old woman was referred to our clinic due to acute mucopurulent keratitis following application of a therapeutic soft contact lens for the treatment of epithelial defects caused by entrance of soil foreign bodies into the eye. The patient was diagnosed with Pseudomonas keratitis, following which she was treated with alternating administration of fourth-generation fluoroquinolone (Vigamox) and 5% fortified ceftazidime eyedrops every 2 hours. Although infectious keratitis rapidly improved, discrete catarrhal infiltrates at the corneolimbal junction (10- to 2-o'clock and 7- to 8-o'clock positions) were rapidly aggravated, forming bead-like stromal pustules inversely proportional to the extent of Pseudomonas keratitis. Acute exacerbation of staphylococcal catarrhal infiltration associated with treatment for Pseudomonas aeruginosa keratitis. Addition of 1% prednisone acetate eyedrops (Pred Forte) four times per day. Dramatic improvement was observed at the sites of catarrhal infiltration without recurrence of infectious keratitis. Clinicians should thus ...Continue Reading

References

Apr 15, 1991·American Journal of Ophthalmology·L FickerP Wright
Sep 21, 1989·The New England Journal of Medicine·E C PoggioK R Kenyon
Jan 15, 2014·Ocular Immunology and Inflammation·Ana Boto-de-Los-BueisSusana Noval
Apr 21, 2016·Current Opinion in Ophthalmology·Nina NiJennifer Rose-Nussbaumer

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Methods Mentioned

BETA
scrapings
biopsy
scraping

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