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Rare disease
CASE REPORT
Burkholderia cepacia: a rare cause of bacterial keratitis
  1. Mohtar Ibrahim1,
  2. Jin Yi Yap1,2
  1. 1Department of Ophthalmology, Universiti Sains Malaysia School of Medical Sciences, Kubang Kerian, Kelantan, Malaysia
  2. 2Surgical Department, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Professor Mohtar Ibrahim, mohtar{at}usm.my

Summary

We describe the first clinical case of Burkholderia cepacia keratitis registered in Southeast Asia. A man in his mid-70s with underlying poorly controlled diabetes mellitus came with complaints of painful red left eye for 4 days. This was accompanied with photophobia and blurring of vision after being injured by a wooden particle while cutting grass. Slit-lamp examination showed a paracentral anterior corneal stromal infiltrates with overlying epithelial defect. Culture of the corneal smear isolated B. cepacia that was sensitive to ceftazidime, meropenem and bactrim (trimethorprim and sulfomethoxazole). Topical ceftazidime was given intensively to the patient and the infection resolved after 6 weeks of treatment.

  • eye
  • infections
  • anterior chamber

https://doi.org/10.1136/bcr-2018-224552

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    Footnotes

    • Contributors MI: was the main physician in charged of the patient we reported; planned and designed the write up of this case report; provided important intellectual content for the discussion of the write up; and finalized the case report before the submission. JYY: was in charged of the write up of the case presentation and data collection including the consent taking and obtaining the images; involved in the literature review of the case report as well; and designed the tables for the literature review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.