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Case Report: A Polymicrobial Vision-Threatening Eye Infection Associated with Polysubstance Abuse.
- Source :
-
The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2020 Aug; Vol. 103 (2), pp. 672-674. Date of Electronic Publication: 2020 May 14. - Publication Year :
- 2020
-
Abstract
- We report a patient with risk factors for both microbial keratitis and endophthalmitis, which were initially challenging to distinguish. Cultures of corneal scrapings yielded several organisms, including an uncultivable Gram-negative rod, eventually identified as Kingella negevensis . Kingella negevensis is so named because most strains have been isolated in the Negev, a desert region of southern Israel. The epidemiology of K. negevensis remains incompletely understood. We found no other reports in the literature of this organism causing microbial keratitis.
- Subjects :
- Administration, Ophthalmic
Adult
Anti-Inflammatory Agents therapeutic use
Antioxidants therapeutic use
Ascorbic Acid therapeutic use
Ceftazidime therapeutic use
Coinfection complications
Coinfection diagnosis
Coinfection drug therapy
Doxycycline therapeutic use
Endophthalmitis diagnosis
Endophthalmitis drug therapy
Endophthalmitis microbiology
Female
Gram-Positive Bacterial Infections complications
Gram-Positive Bacterial Infections diagnosis
Gram-Positive Bacterial Infections drug therapy
Gram-Positive Bacterial Infections microbiology
Humans
Keratitis diagnosis
Keratitis drug therapy
Keratitis microbiology
Kingella genetics
Kingella isolation & purification
Linezolid therapeutic use
Moxifloxacin therapeutic use
Neisseriaceae Infections diagnosis
Neisseriaceae Infections drug therapy
Neisseriaceae Infections microbiology
Ophthalmic Solutions
Prednisone therapeutic use
Propionibacterium acnes isolation & purification
Streptococcal Infections diagnosis
Streptococcal Infections drug therapy
Streptococcal Infections microbiology
Streptococcus isolation & purification
Tobramycin therapeutic use
Vancomycin therapeutic use
Voriconazole therapeutic use
Cocaine administration & dosage
Cocaine-Related Disorders complications
Dopamine Uptake Inhibitors administration & dosage
Endophthalmitis complications
Keratitis complications
Neisseriaceae Infections complications
Streptococcal Infections complications
Substance Abuse, Intravenous complications
Subjects
Details
- Language :
- English
- ISSN :
- 1476-1645
- Volume :
- 103
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The American journal of tropical medicine and hygiene
- Publication Type :
- Academic Journal
- Accession number :
- 32431277
- Full Text :
- https://doi.org/10.4269/ajtmh.20-0202