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Infective crystalline keratopathy due to Citrobacter koseri

作     者:Lim Thiam-Hou Evelyn Li Min Tai Shamel Sonny Teo Khairy Ibrahim Mohtar Lim Thiam-Hou;Evelyn Li Min Tai;Shamel Sonny Teo Khairy;Ibrahim Mohtar

作者机构:Department of Department of Ophthalmology and Visual SciencesSchool of Medical SciencesHealth Campus Universiti Sains Malaysia16150 Kubang KerianKelantanMalaysia 

出 版 物:《Journal of Acute Disease》 (急性病杂志(英文版))

年 卷 期:2021年第10卷第1期

页      面:36-38页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Infectious crystalline keratopathy Citrobacter koseri Gram-negative bacteria 

摘      要:Rationale:Infectious keratopathy is an ocular emergency with the potential to cause irreversible *** s concerns:A 63-year-old diabetic man presented with a 3-day history of painful red right *** had a history of multiple ocular surgeries in the affected eye without recent ocular ***:Infective crystalline keratopathy secondary to Citrobacter ***:Topical corticosteroids were discontinued,and dual topical antibiotic therapy of moxifloxacin 5%and gentamycin 0.3%were ***:Twelve hours after the start of treatment,the crystalline nature of the infiltrate disappeared,with enlargement of the epithelial *** antibiotic regime was continued and the lesion healed within a week of presentation with residual ***:Infective crystalline keratopathy classically presents with intrastromal branching fern-like opacities and minimal anterior segment inflammation in an immunosuppressed *** mainstay of management is corticosteroid discontinuation and the administration of empirical antibiotics until the results of the culture and sensitivity are *** Citrobacter-related cases,treatment may result in a suppurative appearance before healing of the lesion.

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