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Infective crystalline keratopathy due to citrobacter koseri

Journal of Acute Disease 2021年第1期10卷 36-38页

作者： Lim Thiam-Hou Evelyn Li Min Tai Shamel Sonny Teo Khairy Ibrahim Mohtar Department of Department of Ophthalmology and Visual Sciences School of Medical SciencesHealth Campus Universiti Sains Malaysia16150 Kubang KerianKelantanMalaysia

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.

关键词： Infectious crystalline keratopathy citrobacter koseri Gram-negative bacteria

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citrobacter Causing Septic Arthritis: A Case Report

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Infectious Diseases & Immunity 2024年第3期4卷 146-148页

作者： Kimberly K.Levine Mary Dahl Abubakar Tauseef Joseph Thirumalareddy Department of Internal Medicine Creighton University School of MedicineOmaha 68124NEUSA

The genus citrobacter commonly found in water and soil as well as the intestinal and urinary tracts of animals and *** citrobacter infections are infrequently diagnosed in environmental contexts,the rising incidence of nosocomial manifestations underscores the importance of considering this organism in the differential diagnosis of hospital-acquired *** present a case of patient with septic arthritis of the shoulder who had been originally admitted for the management of acute-on-chronic congestive heart failure exacerbation and severe *** hospital day 1,joint aspiration cultures and Gram stain confirmed the presence of citrobacter koseri,a pathogen not commonly associated with septic arthritis,and ceftriaxone was administered to target *** hospital day 7,antibiotic was transitioned to levofloxacin,every other day for 4 *** patient was discharged to an acute rehabilitation facility after a 14-day hospital *** case stresses the importance of maintaining a broad differential diagnosis for any patients who present with fever and joint inflammation or swelling,especially in a postoperative setting.

关键词： citrobacter koseri Bacteremia Septic arthritis

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