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Mycobacterium szulgai Keratitis
Arch Ophthalmol. 2000;118:1123-1124.
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INTRODUCTION
Nontuberculous mycobacteria rarely cause keratitis. Most reported cases have been described in compromised corneas (ie, after penetrating keratoplasty, refractive surgery, and contact lens wear). The most frequently recovered nontuberculous mycobacteria are the rapid growers, Mycobacterium fortuitum and Mycobacterium chelonae.1-2 Occasional cases of keratitis caused by the slower-growing Mycobacterium gordonae have also been described.3 To our knowledge, this is the first reported case of Mycobacterium szulgai keratitis.
REPORT OF A CASE
A 40-year-old patient developed a nonhealing peripheral corneal infiltrate in his right eye without a history of trauma. An initial diagnosis of herpetic keratouveitis was made, and he was treated with topical and systemic antiviral medication, topical corticosteroids, and ciprofloxacin. The result of a polymerase chain reaction for herpes simplex was negative.
Five months later, the patient was referred to our service. His visual acuity was 20/50 OD and 20/20 OS. A nasal stromal corneal infiltrate with epithelial ulceration and vascular pannus at . . . [Full Text of this Article]
COMMENT
Beatrice E. Frueh, MD;
Olivier Dubuis, MD;
Pascal Imesch, MD;
Matthias Böhnke, MD;
Thomas Bodmer, MD
From the Departments of Ophthalmology, University of Berne (Drs Frueh, Imesch, and Böhnke), and the Institute for Medical Microbiology, University Hospital (Drs Dubuis and Bodmer), Berne, Switzerland. None of the authors has a financial interest in the products described in this article.
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