Atypical contact lens related corneal ulcer caused by Pasteurella Multocida

A 55-year-old healthy lady with history of regular contact lens (CL) use presented with 10 days history of progressive left eye blurring of vision, redness and pain. There was good CL hygiene practiced with no history of swimming, trauma or contact with domestic pets. Left eye vision was hand moveme...

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Main Authors:	Fatin Hanisah F, Umi Kalthum Md Noh, Rona Asnida Nasaruddin, Jemaima Che Hamzah
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2018
Online Access:	http://journalarticle.ukm.my/12557/ http://journalarticle.ukm.my/12557/ http://journalarticle.ukm.my/12557/1/9._fatin_hanisah_et_al..pdf

id	ukm-12557
recordtype	eprints
spelling	ukm-125572019-02-14T21:35:27Z http://journalarticle.ukm.my/12557/ Atypical contact lens related corneal ulcer caused by Pasteurella Multocida Fatin Hanisah F, Umi Kalthum Md Noh, Rona Asnida Nasaruddin, Jemaima Che Hamzah, A 55-year-old healthy lady with history of regular contact lens (CL) use presented with 10 days history of progressive left eye blurring of vision, redness and pain. There was good CL hygiene practiced with no history of swimming, trauma or contact with domestic pets. Left eye vision was hand movement and right eye was 1/60, pinhole 6/18. On the left eye, there was a central, oval-shaped corneal infiltrate with an overlying large epithelial defect and stromal oedema, with significant anterior chamber cells and fibrin. B-mode ultrasound showed no vitritis. Intensive topical benzylpenicillin 10000iu/ml and topical gentamycin 1.4% hourly, homatropine 2% three times daily, oral doxycycline and oral ascorbic acid were started. The gram stain results showed gram positive cocci growth. Her ulcer improved with the treatment and preservative-free dexamethasone 0.1% once daily was commenced to reduce inflammation and scarring. Interestingly, culture was reported as Pasteurella maltocida, a gram negative bacilli sensitive to penicillin, and so treatment was continued until the ulcer completely healed. She had central corneal scarring with best corrected vision of 6/24 in the left eye but was not keen on further surgery to improve her vision. Although it has not been previously reported, Pasteurella multocida can cause CL related corneal ulcer with severe anterior chamber inflammation. This diagnosis should be considered even if there is trivial contact or no history of exposure to domestic animals. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12557/1/9._fatin_hanisah_et_al..pdf Fatin Hanisah F, and Umi Kalthum Md Noh, and Rona Asnida Nasaruddin, and Jemaima Che Hamzah, (2018) Atypical contact lens related corneal ulcer caused by Pasteurella Multocida. Journal of Surgical Academia, 8 (1). pp. 43-46. ISSN 2231-7481 http://jsurgacad.com/toc/8/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	A 55-year-old healthy lady with history of regular contact lens (CL) use presented with 10 days history of progressive left eye blurring of vision, redness and pain. There was good CL hygiene practiced with no history of swimming, trauma or contact with domestic pets. Left eye vision was hand movement and right eye was 1/60, pinhole 6/18. On the left eye, there was a central, oval-shaped corneal infiltrate with an overlying large epithelial defect and stromal oedema, with significant anterior chamber cells and fibrin. B-mode ultrasound showed no vitritis. Intensive topical benzylpenicillin 10000iu/ml and topical gentamycin 1.4% hourly, homatropine 2% three times daily, oral doxycycline and oral ascorbic acid were started. The gram stain results showed gram positive cocci growth. Her ulcer improved with the treatment and preservative-free dexamethasone 0.1% once daily was commenced to reduce inflammation and scarring. Interestingly, culture was reported as Pasteurella maltocida, a gram negative bacilli sensitive to penicillin, and so treatment was continued until the ulcer completely healed. She had central corneal scarring with best corrected vision of 6/24 in the left eye but was not keen on further surgery to improve her vision. Although it has not been previously reported, Pasteurella multocida can cause CL related corneal ulcer with severe anterior chamber inflammation. This diagnosis should be considered even if there is trivial contact or no history of exposure to domestic animals.
format	Article
author	Fatin Hanisah F, Umi Kalthum Md Noh, Rona Asnida Nasaruddin, Jemaima Che Hamzah,
spellingShingle	Fatin Hanisah F, Umi Kalthum Md Noh, Rona Asnida Nasaruddin, Jemaima Che Hamzah, Atypical contact lens related corneal ulcer caused by Pasteurella Multocida
author_facet	Fatin Hanisah F, Umi Kalthum Md Noh, Rona Asnida Nasaruddin, Jemaima Che Hamzah,
author_sort	Fatin Hanisah F,
title	Atypical contact lens related corneal ulcer caused by Pasteurella Multocida
title_short	Atypical contact lens related corneal ulcer caused by Pasteurella Multocida
title_full	Atypical contact lens related corneal ulcer caused by Pasteurella Multocida
title_fullStr	Atypical contact lens related corneal ulcer caused by Pasteurella Multocida
title_full_unstemmed	Atypical contact lens related corneal ulcer caused by Pasteurella Multocida
title_sort	atypical contact lens related corneal ulcer caused by pasteurella multocida
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2018
url	http://journalarticle.ukm.my/12557/ http://journalarticle.ukm.my/12557/ http://journalarticle.ukm.my/12557/1/9._fatin_hanisah_et_al..pdf
first_indexed	2023-09-18T20:02:53Z
last_indexed	2023-09-18T20:02:53Z
_version_	1777406965754888192

Atypical contact lens related corneal ulcer caused by Pasteurella Multocida

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