Mycobacterium chelonae keratitis: resolution after debridement and presoaked collagen shields.

Abstract:

:We report a case of Mycobacterium chelonae keratitis following corneal injury by a foreign body. Diagnosis was made by Ziehl-Neelsen staining and Löwenstein-Jensen culture of corneal scrapings. On the basis of the in vitro susceptibility testing, the patient was treated with topical fortified amikacin. Given the lack of response to this therapy, we decided to carry out a debridement of the infiltrative areas to eliminate infected tissue, and to use an amikacin-soaked collagen shield supplemented every 4 h with topical fortified amikacin to promote healing of the debrided area and to potentiate the effects of the antibiotic therapy. After this treatment, clinical resolution was observed and a further acid-fast stain and culture for mycobacterium were negative. Debridement of the infiltrative areas could be used in cases of mycobacterium keratitis when early diagnosis is made and before the corneal infection has become widespread.

journal_name

Cornea

journal_title

Cornea

authors

Lois N,Perez del Molino ML

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

536-9

issue

5

eissn

0277-3740

issn

1536-4798

journal_volume

14

pub_type

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