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Marian S. Macsai, MD; David S. Hillman, MD; Jeffrey B. Robin, MD
Chicago

Arch Ophthalmol. 1988;106(11):1506-1507.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Branhamella catarrhalis, a gram-negative diplococcus, is generally considered to be nonpathogenic. To date, only ten cases of keratitis caused by this organism have been reported.^1,2 All of these infections proved to be sensitive to penicillin or a first-generation cephalosporin. Herein we report a case of rapidly progressive B catarrhalis keratitis that was resistant to both penicillin and a first-generation and two third-generation cephalosporins.

Report of a Case.

—A 46-year-old debilitated man with a history of chronic alcoholism presented with a six-day history of pain and decreased vision in the right eye. Examination disclosed best corrected visual acuities of light perception in the right eye and 20/30 OS. A bilateral blepharitis was noted. Slit-lamp biomicroscopic examination of the right cornea demonstrated a 4 x 5-mm inferonasal epithelial defect with an underlying stromal infiltrate. No hypopyon was present. The intraocular pressure in the right eye was 28 . . . [Full Text PDF of this Article]

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