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Journal of Ophthalmic Inflammation and Infection
Published in: Journal of Ophthalmic Inflammation and Infection 1/2016

Open Access 01-12-2016 | Letter to the Editor

Case report: Providencia stuartii conjunctivitis

Authors: Elliot S. Crane, May Shum, David S. Chu

Published in: Journal of Ophthalmic Inflammation and Infection | Issue 1/2016

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Abstract

Purpose

The purpose of this study is to report a case of Providencia stuartii conjunctivitis.

Methods

This study is a retrospective chart review of a patient with persistent conjunctivitis.

Results

We report the first case of P. stuartii conjunctivitis. Our patient was an elderly man living in a nursing home who was likely immunocompromised from longstanding diabetes mellitus. A conjunctival swab culture was able to identify the infecting bacteria and its antibiotic susceptibility. The conjunctivitis was successfully treated with vancomycin drops and oral sulfamethoxazole and trimethoprim.

Discussion

P. stuartii is an increasingly common bacterium found in the urine of immunocompromised nursing home residents with indwelling Foley catheters. While it has rarely been found to cause ocular infections, P. stuartii may be suspected in elderly, immunocompromised nursing home residents.
Literature
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Woods TD, Watankunakorn C (1996) Bacteremia due to Providencia stuartii: review of 49 episodes. South Med J 89(2):221–224CrossRefPubMed
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Rahav G et al (1994) Molecular epidemiology of catheter-associated bacteriuria in nursing home patients. J Clin Microbiol 32(4):1031–1034PubMedPubMedCentral
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Armbruster CE et al (2014) Increased incidence of urolithiasis and bacteremia during proteus mirabilis and Providencia stuartii coinfection due to synergistic induction of urease activity. J Infect Dis 209(10):1524–1532CrossRefPubMed
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Sun X et al (2006) Infectious keratitis related to orthokeratology. Ophthalmic Physic Opt 26(2):133–136CrossRef
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Smolin and Thoft’s the cornea: scientific foundations and clinical practice. In: Foster, Charles Stephen, Azar, Dimitri T, Dohlman, Claes H, editors. 4th ed. Philadelphia, PA, USA: Lippincott Williams & Wilkins; 2005.
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Koreishi AF, Schechter BA, Karp CL (2006) Ocular infections caused by Providencia rettgeri. Ophthal Eye Dis 113(8):1463–1466CrossRef
Metadata
Title
Case report: Providencia stuartii conjunctivitis
Authors
Elliot S. Crane
May Shum
David S. Chu
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Journal of Ophthalmic Inflammation and Infection / Issue 1/2016
Electronic ISSN: 1869-5760
DOI
https://doi.org/10.1186/s12348-016-0097-9

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