Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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A Case of Acinetobacter Baumannii Keratitis After Contact Lens Wearing

콘택트렌즈 착용 후 발생한 Acinetobacter Baumannii 각막염 1예

Kim, Seong-Tek;Lee, Young-Chang;Heo, Jun;Koh, Jae-Woong
김성택;이영창;허준;고재웅

  • Published : 2008.10.01
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Abstract

Purpose: To report a case of Acinetobacter baumannii keratitis in a soft contact lens wearer. To our knowledge, such a case has not been previously reported in South Korea. Case summary: A 17-year-old boy who had worn soft contact lens for 4 months came to our hospital complaining of severe ocular pain, glare, and visual disturbance in his left eye for 2 days prior to admission. On slit-lamp examination, a round 2.5×4.5 mm lesion with epithelial defects and diffuse edema was noted. Numerous keratic precipitates and hypopyon on the dependent position were also noted. Specimens from corneal scraping, the contact lens itself, and the storage case with lens cleanser solution were evaluated by bacteriology examination. The patient was treated with topical 0.5% Moxifloxacin. A few days later, Acinetobacter baumannii was isolated in a bacterial culture from a corneal specimen. The patient’s clinical features improved steadily with topical 0.5% Moxifloxacin therapy. Complete epithelialization with resolution of the corneal edema and inflammatory infiltrations of the left eye was achieved after 5 days of topical Moxifloxacin therapy. Conclusions: Along with a literature review, we report a case of successfully treated Acinetobacter baumannii keratitis in a soft contact lens wearer.

목적: 국내 최초로 콘택트렌즈를 착용한 환자에서 Acinetobacter baumannii 각막염을 경험하여 보고하고자 한다. 증례요약: 17세 남자환자로, 4개월 전 연성 콘택트렌즈를 착용하기 시작한 후, 2일전부터 시작된 좌안의 안통 및 눈부심 그리고 시력감소를 주소로 내원하였다. 세극등 검사상 좌안에서 원형의 2.5 mm×4.5 mm 크기의 상피결손 및 각막부종 그리고 선상의 전방 축농과 함께 각막내피에서 많은 수의 염증세포의 각막 후 침착이 관찰되었다. 좌안 각막에서 얻은 검체와 환자가 착용하고 있던 콘택트렌즈 및 렌즈 보존액에 대하여 세균학적 검사를 시행하고 0.5% Moxifloxacin 점안을 시행하였다. 수일 후 세균 배양 검사상 Acinetobacter baumannii가 중등도로 관찰되었으나, 임상적 소견이 호전되어 0.5% Moxifloxacin을 이용하여 치료를 계속하였다. 항생제 점안 3일 동안 점진적으로 증상이 경감되었으며, 점안 5일째에는 병변의 완전 상피화와 함께 각막부종 및 염증세포의 침윤은 소실되었다. 결론: Acinetobacter baumannii 각막염 1예를 경험하였기에 보고하는 바이다.

Keywords

References

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