Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient

Keratitis is a very common condition seen by ophthalmologists. However, many factors can complicate the treatment of this depending on the causative organism and other patient comorbid conditions. The objective of this clinical case report is to highlight the treatment of keratitis caused by Rothia...

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Autores principales:	Jamie Dietze, Thomas Mauger
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f2b73588539e4c75854fe082782d71bc
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spelling	oai:doaj.org-article:f2b73588539e4c75854fe082782d71bc2021-11-29T00:55:34ZCombined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient2090-673010.1155/2021/9014667https://doaj.org/article/f2b73588539e4c75854fe082782d71bc2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/9014667https://doaj.org/toc/2090-6730Keratitis is a very common condition seen by ophthalmologists. However, many factors can complicate the treatment of this depending on the causative organism and other patient comorbid conditions. The objective of this clinical case report is to highlight the treatment of keratitis caused by Rothia dentocariosa. It also looks at the unique considerations in keratitis presentations for patients immunocompromised by chemotherapy agents. Our patient is a 58 yo female undergoing chemotherapy with folinic acid, fluorouracil, irinotecan, and panitumumab who presented with several days of a red, painful right eye with mucous discharge. Cultures were positive for Rothia dentocariosa and Streptococcus viridans. The patient ultimately underwent a conjunctival flap procedure as medical therapy with proper oral and topical antibiotics failed to resolve keratitis. This case is unique as previously, only a couple of cases of keratitis caused by Rothia dentocariosa have been reported and none of those patients were immunocompromised nor failed antibiotic therapy.Jamie DietzeThomas MaugerHindawi LimitedarticleOphthalmologyRE1-994ENCase Reports in Ophthalmological Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Jamie Dietze Thomas Mauger Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient
description	Keratitis is a very common condition seen by ophthalmologists. However, many factors can complicate the treatment of this depending on the causative organism and other patient comorbid conditions. The objective of this clinical case report is to highlight the treatment of keratitis caused by Rothia dentocariosa. It also looks at the unique considerations in keratitis presentations for patients immunocompromised by chemotherapy agents. Our patient is a 58 yo female undergoing chemotherapy with folinic acid, fluorouracil, irinotecan, and panitumumab who presented with several days of a red, painful right eye with mucous discharge. Cultures were positive for Rothia dentocariosa and Streptococcus viridans. The patient ultimately underwent a conjunctival flap procedure as medical therapy with proper oral and topical antibiotics failed to resolve keratitis. This case is unique as previously, only a couple of cases of keratitis caused by Rothia dentocariosa have been reported and none of those patients were immunocompromised nor failed antibiotic therapy.
format	article
author	Jamie Dietze Thomas Mauger
author_facet	Jamie Dietze Thomas Mauger
author_sort	Jamie Dietze
title	Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient
title_short	Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient
title_full	Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient
title_fullStr	Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient
title_full_unstemmed	Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient
title_sort	combined rothia dentocariosa and streptococcus viridans corneal ulcer in an immunocompromised patient
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/f2b73588539e4c75854fe082782d71bc
work_keys_str_mv	AT jamiedietze combinedrothiadentocariosaandstreptococcusviridanscornealulcerinanimmunocompromisedpatient AT thomasmauger combinedrothiadentocariosaandstreptococcusviridanscornealulcerinanimmunocompromisedpatient
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Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient

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