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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.
Abstract:
Smear and culture tests of corneal scrapings from a patient with a ring infiltrate confirmed significant growth of a Staphylococcus species resistant to fluoroquinolones. Because of nonresponse to medical management, the patient underwent therapeutic penetrating keratoplasty. Staphylococcal infection of the cornea may appear as a ring-like infiltrate that is recalcitrant to medical management.
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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