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Infectious conjunctivitis caused by Pseudomonas aeruginosa isolated from a bathroom

Hiroshi Eguchi, Tatsuro Miyamoto, Tomomi Kuwahara

    BMC Research Notes
    |July 3, 2013
    PubMed
    Abstract

    Insights

    Pseudomonas aeruginosa from an indoor environment caused suture-related conjunctivitis in a patient. Pulsed-field gel electrophoresis (PFGE) identified the bathroom as the infection source, highlighting environmental risks.

    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Microbiology

    Background:

    • Identifying pathogen transmission routes is vital for preventing non-resident bacterial infections.
    • This report details a case of suture-related conjunctivitis caused by Pseudomonas aeruginosa.
    • Pulsed-field gel electrophoresis (PFGE) was employed to trace the infection's transmission pathway.

    Observation:

    • A 38-year-old man presented with right eye redness, discomfort, and mucopurulent discharge.
    • A residual silk suture on the conjunctiva yielded P. aeruginosa upon culture.
    • The patient was diagnosed with suture-related conjunctivitis, successfully treated with antibiotics and suture removal.

    Findings:

    • PFGE analysis of environmental samples identified P. aeruginosa strains.
    • Three P. aeruginosa strains were isolated from the patient's indoor environment.
    • An environmental isolate from the patient's bathroom matched the strain from the conjunctival suture.

    Implications:

    • This case demonstrates that indoor environmental strains of P. aeruginosa can lead to ocular infections.
    • Environmental hygiene is critical in preventing opportunistic bacterial infections, especially in post-surgical patients.
    • PFGE is a valuable tool for elucidating infectious disease transmission routes in clinical settings.

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