콘택트렌즈 착용 후 발생한 알칼리제네스 자일로속시던스에 의한 각막염 1예 = A Case of Alcaligenes xylosoxidans Keratitis in a Soft Contact Lens Wearer

다국어 초록 (Multilingual Abstract)

Purpose: To report a case of corneal ulcer due to Alcaligenes xylosoxidans in a soft contact lens wearer. Case summary: A 20-year-old female patient presented with a corneal ulcer. The patient had been wearing soft contact lenses over 6 months. The ulcer had a typical appearance, similar to that of immune infiltration due to contact lenses. However, the corneal scraping and culture yielded Alcaligenes xylosoxidans, which is susceptible to ceftazidime and levofloxacine in the antibiotic susceptibility test. After treatment with topical antibiotics, her eye improved, with only a mild corneal scar remaining. Conclusions: Alcaligenes xylosoxidans should be considered as a potential causal pathogen of keratitis upon wearing soft contact lenses. Additionally, any lesion should be suspected as a bacterial corneal ulcer, even if appearing as an immune infiltration due to contact lenses. J Korean Ophthalmol Soc 2010;51(11):1525-1527

참고문헌 (Reference)

1 황정호, "알칼리제네스 페칼리스에 의한 각막궤양 1예" 대한안과학회 50 (50): 1414-1417, 2009

2 한용섭, "백내장 수술 후 발생한 알칼리제네스 자일록소시단스에 의한 안내염 1예" 대한안과학회 46 (46): 27-27, 2005

3 Holmes B, "Strains of Achromobacter xylosoxidans from clinical material" 30 : 595-601, 1977

4 Huang ZL, "Recurrent Alcalgenes xylosoxidans keratitis" 24 : 489-490, 2005

5 Pan TH, "Delayed onset and recurrent Alcaligenes xylosoxidans keratitis" 19 : 243-245, 2000

6 Newman PE, "Corneal ulcer due to Achromobactere xylosoxidans" 68 : 472-474, 1984

7 Reddy AK, "Clinical, microbiological profile and treatment outcome of ocular infections caused by Achromobacter xylosoxidans" 28 : 1100-1103, 2009

8 Lin A, "Alcaligenes xylosoxidans keratiits post penetrating keratoplasty in a rigid gas permeable lens wearer" 24 : 239-241, 1998

9 Yabuuchi E, "Achromobacter xylosoxidans from human ear discharge" 15 : 477-481, 1971

10 Fiscella R, "Achromobacter xylosoxidans corneal ulcer in a therapeutic soft contact lens wearer" 8 : 267-269, 1989

11 Oh JY, "A case of Epidemic keratoconjunctivitis complicated by Alcaligenes xylosoxidans infection" 19 : 233-234, 2005