Gemella haemolysans infectious crystalline keratopathy.

Abstract:

PURPOSE:To report a case of infectious crystalline keratopathy caused by Gemella haemolysans. METHODS:Observational case report. A 65-year-old woman underwent penetrating keratoplasty for contact lens-related Acanthamoeba keratitis and developed a nonhealing epithelial defect. Despite continued prophylaxis with topical gatifloxacin, small superficial stromal opacities were noted and cultured 6 months after penetrating keratoplasty. The opacities coalesced into a fine, crystalline keratopathy in the superficial stroma with persistent overlying epithelial defect. RESULTS:Culture results from corneal scraping showed more than 100 colonies of G. haemolysans. Topical vancomycin was instituted, with complete resolution of the crystalline keratopathy and epithelial defect over the next 2 months. CONCLUSIONS:G. haemolysans can be a causative organism of infectious crystalline keratopathy. This infection can arise in a postkeratoplasty patient despite prophylaxis with a fourth-generation fluoroquinolone.

journal_name

Cornea

journal_title

Cornea

authors

Elmallah MK,Munir WM,Janda WM,Tu EY

doi

10.1097/01.ico.0000240090.44195.a3

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1245-7

issue

10

eissn

0277-3740

issn

1536-4798

pii

00003226-200612000-00026

journal_volume

25

pub_type

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