<i>Stenotrophomonas maltophilia</i>Keratitis Related to Therapeutic Contact Lens Misidentified with an Automated Identification System  

作　　者：Daniel Fatela-Cantillo Javier Crespo-González Blanca Fatela-Cantillo Antonio Fernandez-Suarez Jose Miguel Aguilar Benítez Juan Antonio Saez Nieto Remedios González-Amezcua 

机构地区：[1]Department of Biotechnology, Hospital Alto Guadalquivir, Andújar (Jaén), Spain [2]Department of Ophthalmology, Hospital Linares, Linares (Jaén), Spain [3]Department of Ophthalmology, Hospital La Princesa, Madrid (Madrid), Spain [4]Department of Biotechnology, Hospital Alcalá La Real, Alcalá La Real (Jaén), Spain [5]NationalMicrobiology Centre, Majadahonda (Madrid), Spain [6]Department of Ophthalmology, Hospital Alto Guadalquivir, Andújar (Jaén), Spain

出　　处：《Open Journal of Clinical Diagnostics》2015年第2期63-67,共5页临床诊断学期刊（英文）

摘　　要：We present a case of keratitis caused by Stenotrophomonas maltophilia in a therapeutic contact lens user with trichiasis and symblepharon. This keratitis was initially diagnosed as caused by Achromobacter xylosoxidans, but the strain was sent for species confirmation and the isolate was finally identified as S. maltophilia by means of 16S rDNA sequencing. The patient rapidly improved on administration of fortified ceftazidime. Physicians should be aware that the definitive identification of the pathogenic agent and prolonged antimicrobial treatment according to culture sensitivities in keratitis are mandatory as treatment success depends greatly on them.We present a case of keratitis caused by Stenotrophomonas maltophilia in a therapeutic contact lens user with trichiasis and symblepharon. This keratitis was initially diagnosed as caused by Achromobacter xylosoxidans, but the strain was sent for species confirmation and the isolate was finally identified as S. maltophilia by means of 16S rDNA sequencing. The patient rapidly improved on administration of fortified ceftazidime. Physicians should be aware that the definitive identification of the pathogenic agent and prolonged antimicrobial treatment according to culture sensitivities in keratitis are mandatory as treatment success depends greatly on them.

关 键 词：STENOTROPHOMONAS maltophilia KERATITIS CEFTAZIDIME 

分 类 号：R73[医药卫生—肿瘤]