Ring infiltrate in staphylococcal keratitis

Batriti S Wallang1, Sujata Das, Savitri Sharma

  • 1Cornea and Anterior Segment Service, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India.

Insights

A Staphylococcus infection resistant to fluoroquinolones caused a corneal ring infiltrate. Surgical intervention, penetrating keratoplasty, was necessary due to the infection

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Corneal infections can lead to sight-threatening conditions.
  • Antibiotic resistance is a growing concern in treating microbial keratitis.

Observation:

  • A patient presented with a corneal ring infiltrate.
  • Smear and culture tests revealed Staphylococcus species resistant to fluoroquinolones.

Findings:

  • The Staphylococcus isolate demonstrated resistance to fluoroquinolone antibiotics.
  • The corneal infiltrate was recalcitrant to medical management.

Implications:

  • Staphylococcal keratitis can manifest as a ring infiltrate.
  • Therapeutic penetrating keratoplasty may be required for resistant cases.
  • This case highlights the challenges of fluoroquinolone-resistant Staphylococcus infections in ophthalmology.

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