AI Article Synopsis

  • A 78-year-old farmer developed a corneal abscess caused by Listeria monocytogenes, a pathogen that is resistant to certain antibiotics.
  • Initial treatment included multiple antibiotics, but Listeria was identified only after two days of lab culture, revealing its resistance to some of the prescribed medications.
  • The case highlights the importance of considering Listeria in ocular infections for high-risk populations like farmers and emphasizes the need for thorough microbiological analysis to guide effective treatment.

Article Abstract

Purpose: To report a farmer's corneal abscess caused by an unusual pathogen: Listeria monocytogenes fluoroquinolone resistant.

Methods: A 78-year-old farmer presented a central corneal abscess associated with 1-mm hypopyon and decreased visual acuity evolving since 2 weeks. First an antibiotic therapy associating oral ofloxacin and topical ciprofloxacin, vancomycin and ceftazidime was started. Different samples of the abscess were performed and sent to different microbiological laboratories.

Result: Listeria monocytogenes was isolated after 2 days of culture. Antibiotics sensitivity showed resistance to ciprofloxacin, fosfomycin and fusidic acid. Ceftazidime was changed for gentamicin, and after 1 month of treatment the abscess decreased considerably.

Conclusion: This case demonstrated that even if Listeria is rarely involved in ocular abscess, it must be evocated for people with risk factors as farmers. This suspicion should lead to an extended incubation to identify the pathogen. The analysis of Listeria resistance is essential to start an efficient therapy.

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Source
http://dx.doi.org/10.1007/s10792-017-0723-zDOI Listing

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