Abstract
A 24-year-old man with myopic astigmatism had uncomplicated laser-assisted subepithelial keratectomy (LASEK) in October 2004. Approximately 4 weeks later, a foreign-body sensation and redness developed in the left eye. A paracentral anterior stromal infiltrate was observed, and Gram stain on the day of presentation showed branching filamentous gram-positive rods. Cultures subsequently grew Mycobacterium chelonae. Topical tobramycin 15 mg/mL, azithromycin 2 mg/mL, amikacin 25 mg/mL, and cefazolin 50 mg/mL were initiated based on Gram stain results. We believe this is the first documented case of M chelonae keratitis after LASEK.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Astigmatism / surgery
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Corneal Stroma / microbiology*
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Corneal Ulcer / diagnosis
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Corneal Ulcer / drug therapy
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Corneal Ulcer / microbiology*
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Drug Therapy, Combination
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Eye Infections, Bacterial / diagnosis
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Eye Infections, Bacterial / drug therapy
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Eye Infections, Bacterial / etiology*
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Humans
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Keratectomy, Subepithelial, Laser-Assisted / adverse effects*
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Male
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Mycobacterium Infections, Nontuberculous / diagnosis
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Mycobacterium Infections, Nontuberculous / drug therapy
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Mycobacterium Infections, Nontuberculous / etiology*
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Mycobacterium chelonae / isolation & purification*
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Myopia / surgery