| A Case of Serratia Marcescens Keratitis Presenting as Radial Keratoneuritis. |
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Young Jun Kim, Byoung Seon Kim, Woong Sun Yoo, In Young Chung, Seong Wook Seo, Ji Myong Yoo, Seong Jae Kim |
1Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea. maya12kim@naver.com
2Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea. |
| 방사상각막신경염의 임상양상을 보인 세라티아 마르세센스 각막염 1예 |
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김영준1⋅김병선1⋅유웅선1⋅정인영1,2⋅서성욱1,2⋅유지명1,2⋅김성재1,2 |
Department of Ophthalmology, Gyeongsang National University School of Medicine1, Jinju, Korea
Gyeongsang Institute of Health Science, Gyeongsang National University2, Jinju, Korea |
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| Abstract |
PURPOSE
To report a case of Serratia marcescens keratitis presenting as radial keratoneuritis. CASE SUMMARY: A 15-year-old female who wore cosmetic and orthokeratology contact lenses but performed inadequate lens care visited our clinic with severe pain and visual disturbance in her left eye. On slit lamp examination, central corneal epithelial defect and stromal infiltration with radial keratoneuritis were observed. Based on clinical findings and past history, Acanthamoeba keratitis was highly suspected. The patient was treated with topical chlorhexidine 0.02% (Sigma-Aldrich Co., MO, USA) and moxifloxacin 0.5% (Vigamox(R), Alcon, TX, USA) per hour with 200 mg of oral itraconazol (Sporaone(R), LG, Seoul, Korea) once a day. Symptoms and corneal lesions did not improve after three days. After Serratia marsenscens was isolated from her contact lenses and solution, topical chlorhexidine 0.02% was discontinued, and intravenous ceftazidime (Tazime(R), Hanmi, Seoul, Korea) and fortified ceftazidime (50 mg/mL) eye drop was added. The corneal lesion dramatically improved, and after six months of follow-up, best-corrected visual acuity was 20/20 in the affected eye. CONCLUSIONS: Radial keratoneuritis can present not only in Acanthamoeba keratitis, but also in Serratia marsenscens keratitis. Confirmation of the isolated organism is useful when treating radial keratoneuritis. |
| Key Words:
Acanthamoeba;Radial keratoneuritis;Serratia marsenscens |
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