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Case report of Stenotrophomonas maltophilia keratitis in a patient with pancreatic cancer

Poster Details

First Author: F.Tsogkas UK

Co Author(s):    N. Kopsachilis   D. Parmar   M. Westcott        

Abstract Details

Purpose:

To report the first case in the UK of a patient who was diagnosed with Stenotrophomonas maltophilia keratitis.

Setting:

The eye treatment centre, The Royal London Hospital and Whipps Cross University Hospital, London, Barts and the London NHS Trust.

Methods:

A 68-years old Caucasian female presented with persistent left ocular surface redness. She was under treatment for pancreatic adenocarcinoma. Thorough clinical examination revealed an oval shaped 2.5x2 mm dense central corneal stromal infiltrate with an overlying 4x3mm epithelial defect and hypopyon. Interestingly, corneal scraping confirmed the diagnosis of Stenotrophomonas maltophilia keratitis, resistant to chloramphenicol, Gentamicin, ciprofloxacin and ceftazidime.

Results:

The patient was commenced immediately on topical hourly Moxifloxacin drops and showed significant improvement after 7 days of treatment. Unfortunately the patient passed away within 3 weeks of initial diagnosis due to systemic complications of her pancreatic adenocarcinoma.

Conclusions:

Stenotrophomonas maltophilia (SM) is an aerobic, Gram-negative ubiquitous bacillus, isolated from water, soil, plants, and animals. SM has assumed an increasingly important role as a nosocomial pathogen in immune compromised patients over the past 10 years. We report the first case in the UK of a patient who was diagnosed with Stenotrophomonas maltophilia keratitis and underline the importance of this rare nosocomial pathogen.

Financial Disclosure:

NONE

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