Queratitis por Achromobacter xylosoxidans en flap de LASIK tratada con antibióticos intraestromalesA propósito de un caso
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Complexo Hospitalario Universitario de Ferrol
info
Complexo Hospitalario Universitario de Ferrol
Ferrol, España
ISSN: 0365-6691
Year of publication: 2024
Volume: 99
Issue: 6
Pages: 248-251
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Intrastromal antibiotic injections are a type of treatment that can be very useful in bacterial keratitis refractory to topical antibiotics. We present the case of a 44-year-old woman with an infiltrate in a laser in situ keratomileusis (LASIK) flap and growth of Achromobacter xylosoxidans, who was treated with topical ceftazidime for 1 month. However, after discontinuation of the antibiotic, there was a worsening with growth of the same germ. Topical treatment was reintroduced and, due to suspicion of germ reservoir, it was decided to give three cycles of intrastromal ceftazidime injections, the last one also with moxifloxacin, with good results. After 4 months asymptomatic and without treatment at the moment, no signs of recurrence have been observed. This case supports the usefulness of intrastromal injections in refractory cases to the topical medication.