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Pasteurella multocida keratitis and corneal laceration from a cat scratch
1Cornea Service, Wills Eye Hospital, Philadelphia, Pa 19107.
Ophthalmic Surgery
|May 1, 1993
Summary
A cat scratch caused a severe eye infection and corneal ulcer. Prompt antibiotic treatment led to healing without surgery, preserving excellent vision.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Corneal lacerations from animal scratches can lead to severe infections.
- Ocular trauma requires prompt and accurate diagnosis and management.
Observation:
- A 24-year-old woman presented with a corneal laceration and ulcer after a cat scratch.
- Examination revealed a Seidel-positive laceration, dense ulcer, and significant inflammation.
Findings:
- Cultures identified Pasteurella multocida as the causative agent.
- The patient received intensive topical and intravenous antibiotics, including tobramycin, vancomycin, gentamicin, and clindamycin.
- The corneal laceration healed conservatively without surgical intervention.
Implications:
- This case highlights the importance of timely antibiotic therapy for traumatic corneal ulcers.
- Conservative management can be successful for certain corneal injuries.
- Early diagnosis and appropriate treatment are crucial for preventing vision loss from ocular infections.