Int Ophthalmol (2018) 38:1325–1328 https://doi.org/10.1007/s10792-017-0550-2 CASE REPORT A case of bilateral keratitis caused by Providencia alcalifaciens: a rarely encountered ocular pathogen . . Won Choi Yong Sok Ji Kyung Chul Yoon Received: 23 August 2016 / Accepted: 8 May 2017 / Published online: 17 May 2017 Springer Science+Business Media Dordrecht 2017 Abstract Ophthalmologists should consider this bacterium as a Purpose To report a case of keratitis caused by potential pathogen of corneal ulceration, when clini- Providencia alcalifaciens. cally suspect gram-negative bacterial keratitis espe- Methods A 70-year-old man presented with pain, cially in immunocompromised state. redness, and decreased vision in both of his eyes. On initial presentation, the visual acuity in both of his eyes Keywords Keratitis Providencia alcalifaciens was hand motion, and slit lamp examination showed Ceftazidime diffuse inﬁltrates and total epithelial defects of the cornea, conjunctival hyperemia, and severe anterior chamber reactions with 2-mm-height hypopyon. The results of laboratory studies revealed elevated liver Introduction function tests, which indicated the presence of alco- holic liver disease. Providencia alcalifaciens is an emerging gram-nega- Results The culture result was positive for P. tive rod-shaped bacterium that belongs to the Enter- alcalifaciens and showed sensitivity to ceftazidime obacteriaceae family. Until now,
International Ophthalmology – Springer Journals
Published: May 17, 2017
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