J Korean Ophthalmol Soc > Volume 60(8); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(8):787-791.
DOI: https://doi.org/10.3341/jkos.2019.60.8.787    Published online August 15, 2019.
Infectious Keratitis Caused by Shewanella Putrefaciens.
Tae Kyu Moon, Yong Sok Ji, Kyung Chul Yoon
Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. kcyoon@jnu.ac.kr
<i>Shewanella Putrefaciens</i>에 의한 감염각막염
문태규 · 지영석 · 윤경철
전남대학교 의과대학 안과학교실
Correspondence:  Kyung Chul Yoon,
Email: kcyoon@jnu.ac.kr
Received: 20 December 2018   • Revised: 21 January 2019   • Accepted: 18 July 2019
Abstract
PURPOSE
We report a case of infectious keratitis caused by Shewanella putrefaciens in a patient after fishing. CASE SUMMARY: A 75-year-old male with no underlying disease other than hypertension was admitted to our hospital because of decreased visual acuity and congestion in his left eye for 2 weeks. At the first ophthalmic examination, the best-corrected visual acuity (BCVA) of the left eye was counting fingers. Slit lamp examination showed stromal infiltrates with 2.0 × 2.0 mm corneal epithelial defects, endothelial inflammatory plaques and 1 mm height hypopyon with severe inflammation in the anterior chamber. Bacterial culture tests were performed by corneal scraping, which were positive for Shewanella putrefaciens, followed by treatment with moxifloxacin and ceftazidime topical antibiotics. After 2 months of treatment, the BCVA of the left eye improved to 0.4 and the corneal lesion clinically improved with residual mild stromal opacity. CONCLUSIONS: Shewanella putrefaciens should be considered as a causal pathogen of infectious keratitis in patients after fishing. We report a case of infectious keratitis caused by Shewanella putrefaciens, which has never previously been reported in the Republic of Korea.
Key Words: Corneal ulcer;Shewanella putrefaciens


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