레클레르시아 아데카르복시라타에 의한 각막궤양 1예

• 영문명: A Case of Corneal Ulcer Caused by Leclercia Adecarboxylata
• 발행기관: 대한안과학회
• 저자명: 이기일 정성근 황형빈,Kee Il Lee, MD, Sung Kun Chung, MD, PhD, Hyung Bin Hwang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number6, 918~922쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.06.15

영문 초록

Purpose: To report a case of corneal ulcer caused by Leclercia adecarboxylata in an immunocompetent patient. Case summary: A previously healthy 43-year-old female presented with right ocular pain and was referred to our clinic under the impression of corneal abrasion and secondary infection. The patient was treated at a local clinic for 3 days using artificial tears, therapeutic contact lens, topical antibiotics, and anti-inflammatory eye drops but showed no improvement. Gram staining, bacterial and fungal cultures and antibiotic sensitivity test were performed from a corneal scrape. The cultures revealed growth of Leclercia adecarboxylata. The patient was treated with moxifloxacin and ofloxacin eye drops. After 2 weeks of treatment, the infection resolved without remaining scars. Conclusions: Reportedly, Leclercia adecarboxylata affects humans only as an opportunistic pathogen or part of polymicrobial infections. However, in the present case, Leclercia adecarboxylata was isolated as a single pathogen in an immunocompetent patient which is the first clinical report of this microorganism found in an ocular sample. Therefore, if antibiotic-susceptible gram-negative bacilli are found in opthalmologic samples, the above bacteria should be considerd in the diagnosis. J Korean Ophthalmol Soc 2014;55(6):918-922

키워드

Corneal ulcer, Gram-negative bacilli, Leclercia adecarboxylata