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Published on: February 6, 2021
Case Report: A Polymicrobial Vision-Threatening Eye Infection Associated with Polysubstance Abuse
Venkata Satish Pendela1, Pujitha Kudaravalli2, Mamta Chhabria1
11Rochester Regional Health, Rochester, New York.
Abstract:
We report a patient with risk factors for both microbial keratitis and endophthalmitis, which were initially challenging to distinguish. Cultures of corneal scrapings yielded several organisms, including an uncultivable Gram-negative rod, eventually identified as Kingella negevensis. Kingella negevensis is so named because most strains have been isolated in the Negev, a desert region of southern Israel. The epidemiology of K. negevensis remains incompletely understood. We found no other reports in the literature of this organism causing microbial keratitis.
Insights
This study identifies Kingella negevensis as a cause of microbial keratitis, a rare bacterial eye infection. This finding is significant as it
Area of Science:
- Ophthalmology
- Microbiology
- Infectious Diseases
Background:
- Microbial keratitis and endophthalmitis are serious eye infections that can be challenging to diagnose.
- Identifying the causative organism is crucial for effective treatment and preventing vision loss.
Observation:
- A patient presented with symptoms suggestive of both microbial keratitis and endophthalmitis.
- Corneal scrapings revealed multiple organisms, including a previously uncultivable Gram-negative rod.
Findings:
- The uncultivable Gram-negative rod was identified as Kingella negevensis.
- This is the first reported case of Kingella negevensis causing microbial keratitis.
Implications:
- This expands the known spectrum of ocular infections caused by Kingella negevensis.
- Further research into the epidemiology and pathogenicity of Kingella negevensis is warranted.
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