A Case of Alcaligenes xylosoxidans Keratitis in a Soft Contact Lens Wearer

Yang Kyung Cho; Dong Hyun Gi; Hyun Kyung Kim; Tae Yoon La

doi:10.3341/jkos.2010.51.11.1525

Journal List > J Korean Ophthalmol Soc > v.51(11) > 1008694

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Cho, Gi, Kim, and La: A Case of Alcaligenes xylosoxidans Keratitis in a Soft Contact Lens Wearer

Original Article

J Korean Ophthalmol Soc 2010;51(11):1525-1527.

Published online: 7 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.11.1525

A Case of Alcaligenes xylosoxidans Keratitis in a Soft Contact Lens Wearer

Yang Kyung Cho, MD, PhD, Dong Hyun Gi, MD, Hyun Kyung Kim, MD, Tae Yoon La, MD, PhD

Department of Ophthalmology and Visual Science, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea

Address reprint requests to Tae Yoon La, MD, PhD Department of Ophthalmology, St. Vincent Hospital #93-6 Ji-dong, Paldal-gu, Suwon 442-723, Korea Tel: +82-31-249-7340, Fax: +82-31-599-7405, E-mail: laty@catholic.ac.kr

Received 24 December 2009 Accepted 23 September 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 levo-floxacine 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.

Keywords: Alcaligenes xylosoxidans, Contact lens

References

1. Holmes B, Snell JJ, Lapage SP. Strains of Achromobacter xylosoxidans from clinical material. J Clin Pathol. 1977; 30:595–601.

2. Han YS, Chung IY, Park JM. A case of Alcaligenes xylosoxidans endophthalmitis after cataract extraction. J Korean Ophthalmol Soc. 2005; 46:186–9.

3. Oh J-Y, Shin YJ, Wee WR. A case of Epidemic keratoconjunctivitis complicated by Alcaligenes xylosoxidans infection. Korean J Ophthalmol. 2005; 19:233–4.

4. Hwang JH, Kim MJ, Kweon EY, et al. A case of corneal ulcer by Alcaligenes Faecalis. J Korean Ophthalmol Soc. 2009; 50:1414–7.

5. Fiscella R, Noth J. Achromobacter xylosoxidans corneal ulcer in a therapeutic soft contact lens wearer. Cornea. 1989; 8:267–9.

6. Pan TH, Heidemann DG, Dunn SP, et al. Delayed onset and recurrent Alcaligenes xylosoxidans keratitis. Cornea. 2000; 19:243–5.

7. Lin A, Driebe WT, Polack P. Alcaligenes xylosoxidans keratiits post penetrating keratoplasty in a rigid gas permeable lens wearer. CLAO J. 1998; 24:239–41.

8. Huang ZL, Chen YF, Chang SW, et al. Recurrent Alcalgenes xylosoxidans keratitis. Cornea. 2005; 24:489–90.

9. Yabuuchi E, Ohyama A. Achromobacter xylosoxidans from human ear discharge. Jpn J Microbiol. 1971; 15:477–81.

10. Newman PE, Heider P, Waring GO, et al. Corneal ulcer due to Achromobactere xylosoxidans. Br J Ophthalmol. 1984; 68:472–4.

11. Reddy AK, Garg P, Shah V, Gopinathan U. Clinical, microbiological profile and treatment outcome of ocular infections caused by Achromobacter xylosoxidans. Cornea. 2009; 28:1100–3.

Figure 1.

At the initial examination, 1.0 mm×1.0 mm-size stromal infiltration and surrounding multiple, tiny infiltration-like satellite lesion near limbus is observed.

Figure 2.

At the initial examination, the lesion shows no staining after fluorescein dye instillation.

Figure 3.

At the 11th examination, with susceptible antibiotics treatment, remained faint corneal stromal scar was observed.

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