Ocul Immunol Inflamm
The Ramoji Foundation Centre for Ocular Infections, L. V. Prasad Eye Institute, Hyderabad, India.
Published: September 2024
Introduction And Purpose: We report a case of extensively drug-resistant (XDR) (PA) scleritis after pterygium surgery.
Methods: Case report.
Results: A 58-year-old farmer presented with a 40-day history of severe pain, swelling, and blurred vision after a pterygium excision was performed at another institute. The patient was on multiple medications with no relief. The examination showed a nasally located scleral thinning in his right eye, with ulceration and infiltrates. Microbiology revealed , which showed intermediate sensitivity to colistin only. The patient was administered topical (0.19%) and intravenous colistin and dexamethasone. There was a rapid reduction in symptoms, and the lesions healed over the next 2 months.
Conclusions: To the best of our knowledge, this is the first case report of XDR-PA scleritis. We suggest the possibility of evolving drug resistance caused by the iatrogenic use of antibiotics during the early stages of the disease course.
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http://dx.doi.org/10.1080/09273948.2023.2232037 | DOI Listing |
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