Polymicrobial Keratitis—Importance of Detecting and Treating More Than One Organism

• 作者: Jyoti Batra Neelam Sapra Parul Jain Uma Sridhar
• 来源期刊: 眼科学期刊(英文)
• 学科: 医学
• 关键词: POLYMICROBIAL KERATITIS BROAD Spectrum Antibiotics MICROBIOLOGICAL Work-Up
• 年，卷（期）: 2017,（1）
• 页码范围: 64-72
• 页数: 9页
• 分类号: R73

摘要

Corneal ulcers may become non-healing if inappropriately managed. Empirically giving broad spectrum antibiotics or prescription of a “cocktail” of topical antibacterial, antifungal and antiviral medication may only add to drug toxicity and drug resistance. We present a series of four cases of microbial keratitis which are complicated due to presence of more than one causative organism. Microbiological work-up revealed Proteus species and fungal hyphae in smears only in the first case, atypical Mycobacteria and Staphyloccocus species in the second case, Moraxella and Streptococcus viridans in the third case and Aspergillus flavus and Nocardia species in the fourth case. Authors would like to emphasize the need for laboratory support in the treatment of corneal ulcers and importance of proper management of this sight threatening disease.