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Turicella otitidis: a rare agent causing microbial keratitis
  1. Smruti Rekha Priyadarshini1,
  2. Himanshu Sekhara Behera2,
  3. Srikant Sahu1 and
  4. Anirban Dutta1
  1. 1Cornea and Anterior Segment Services, LV Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, Orissa, India
  2. 2Ocular Microbiology Service, L. V. Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, Orissa, India
  1. Correspondence to Dr Himanshu Sekhara Behera; himansubt{at}gmail.com

Abstract

A 10-year-old boy treated for alkali injury with multiple interventions presented with a perforated corneal ulcer with clinically suspected bacterial aetiology. Cornea scraping and tissue adhesive application were planned. During surgery, an eyelash was found embedded at the perforated site. Gram staining of corneal scraping revealed the presence of Gram-positive bacilli on the first day which later was identified as Turicella otitidis with culture followed by VITEK V.2.0 (Biomerieux) identification. The bacterium was found to be sensitive to amikacin, ciprofloxacin, cefazolin, gatifloxacin, moxifloxacin, ofloxacin and vancomycin antibiotics as per Clinical and Laboratory Standards Institute guidelines. Coryneform bacteria is a rare cause of keratitis, and this is the first reported case of microbial keratitis caused by one of the rare corynebacterium species T. otitidis to the best of our knowledge. Literature search does not reveal any specific ocular features typical to this organism. This case supports the growing evidence for pathogenicity of T. otitidis in ocular samples. This study demonstrates the utility of VITEK for the identification of rare pathogen and may facilitate the use of certain antibiotics in the treatment regimen of T. otitidis infections.

  • ophthalmology
  • anterior chamber

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Footnotes

  • Contributors HSB: microbiological analysis, manuscript writing. SRP: patient care, editing. SS: patient care. AD: manuscript editing and patient care.

  • 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.

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