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An unusual pathogen causing microbial keratitis.

M Usman Saeed1, Afsar Jalil Jafree, Romain DeCock

  • 1Department of Ophthalmology, William Harvey Hospital, Ashford, Kent, UK. musmansaeed@aol.com

Acta Ophthalmologica Scandinavica
|September 30, 2004
PubMed
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A rare Mycobacterium fortuitum infection occurred in a corneal graft six years after transplantation, potentially linked to contact lens wear. This highlights the importance of thorough microbiological evaluation for persistent microbial keratitis.

Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Reports a rare case of Mycobacterium fortuitum keratitis.
  • Occurred in a corneal graft 6 years post-transplantation.
  • Suspected association with contact lens use.

Observation:

  • Patient presented with microbial keratitis.
  • Infection affected the corneal graft.
  • Delayed diagnosis due to slow-growing organism.

Findings:

  • Mycobacterium fortuitum identified as the causative agent.
  • Infection presented unusually late post-keratoplasty.
  • Potential link to contact lens wear established.

Implications:

  • Underscores the need for meticulous microbiological diagnostics in microbial keratitis.

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  • Highlights the challenge of identifying slow-growing pathogens.
  • Emphasizes the potential for difficult therapeutic management in atypical cases.