Recalcitrant Pseudomonas Aeruginosa Keratitis with Hyphaema.

Authors :: Chan A
Oo HH
Stanley P
Chang B
Source :: Case reports in ophthalmology [Case Rep Ophthalmol] 2021 Apr 12; Vol. 12 (1), pp. 214-218. Date of Electronic Publication: 2021 Apr 12 (Print Publication: 2021).
Publication Year :: 2021
Abstract: Purpose: To report a case of recalcitrant pseudomonas keratitis with a rare presentation of hyphaema.<br />Observation: A 45-year-old female was noted to have contact lens-related pseudomonas keratitis with hyphaema. The organism was refractory to multiple antibiotics and only responded to Tazocin eye drops.<br />Conclusion and Importance: Hyphaema is a rare presentation in bacterial keratitis and could represent infection with an especially virulent organism. Use of Aspirin could precipitate hyphaema in infective keratitis. Alternative antibiotic choices such as Tazocin, colistin, meropenem, and imipenem can be considered when standard therapy is ineffective for multidrug-resistant Pseudomonas keratitis.<br />Competing Interests: The authors have no conflicts of interest to declare.<br /> (Copyright © 2021 by S. Karger AG, Basel.)