A Case of Corneal Ulcer by Alcaligenes Faecalis

Jeong Ho Hwang; Min Jung Kim; Eui Yong Kweon; Min Ahn; In Cheon You

doi:10.3341/jkos.2009.50.9.1414

Journal List > J Korean Ophthalmol Soc > v.50(9) > 1008372

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Hwang, Kim, Kweon, Ahn, and You: A Case of Corneal Ulcer by Alcaligenes Faecalis

Original Article

J Korean Ophthalmol Soc 2009;50(9):1414-1417.

Published online: 7 September 2009

DOI: https://doi.org/10.3341/jkos.2009.50.9.1414

A Case of Corneal Ulcer by Alcaligenes Faecalis

Jeong Ho Hwang, MD, Min Jung Kim, MD, Eui Yong Kweon, MD, Min Ahn, MD, In Cheon You, MD

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea

Address reprint requests to In Cheon You, MD Department of Ophthalmology, Chonbuk National University Hospital #San 2-20 Geumam-dong, Deokjin-gu, Jeonju 561-712, Korea Tel: 82-63-250-2581, Fax: 82-63-250-1960, E-mail: you2ic@paran.com

Received 24 November 2008 Accepted 9 June 2009

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 faecalis in a patient with a preexisting corneal ulcer.

Case summary

A 58-year-old male patient presented with a corneal ulcer without a history of any trauma. The patient had a history of corneal ulcer 9 months earlier. The patient had previously been diagnosed with diabetic retinopathy and neovascular glaucoma, and his visual acuity was no light perception. Corneal scraping and culture yielded Alcaligenes faecalis susceptible to most antibiotics in the antibiotic susceptibility test. After treatment with empirical systemic antibiotics and eyedrops, his eye improved with a remaining corneal scar.

Conclusions

Alcaligenes faecalis should be considered as a causal pathogen of corneal ulcer in patients with suspicious compromised ocular surface, such as previous corneal ulcer.

Keywords: Alcaligenes faecalis, Corneal ulcer, Compromised ocular surface

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Figure 1.

Preexisting corneal ulcer with deep stromal infiltration and hypopyon in a 58-year-old man with neovascular glaucoma (photograph taken at 9 months earlier).

Figure 2.

Pretreatment appearance of the eye with newly developed donut-shaped corneal ulcer (white arrow), hypopyon, and corneal scar and neovascularization due to previous corneal ulcer (black arrow).

Figure 3.

After treatment for a month, quiet corneal scarring was evident.

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