Year : 2022  |  Volume : 30  |  Issue : 3  |  Page : 119-122

Enterococcal Ulcerative Keratitis in a 32-Year-Old Nigerian: A Rare Case

1 Department of Ophthalmology, University of Calabar, Calabar, Cross River State, Nigeria
2 Pathology Division, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria
3 Department of Ophthalmology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria

Correspondence Address:
Ernest I Ezeh
Department of Ophthalmology, University of Calabar, Calabar, PMB 1115, Cross River State, Nigeria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_4_22

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Globally, most cases of microbial ulcerative keratitis are bacterial in origin. The most common causative organisms in bacterial keratitis are Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae, and Pseudomonas aeruginosa. Ocular infections by enterococci are rare. Only a few cases of keratitis and endophthalmitis caused by enterococci have been reported worldwide. To the best of the authors’ knowledge, no case has been reported in Nigeria. We present a case of ulcerative keratitis due to Enterococci specie, to highlight the occurrence of this unusual ocular pathogen. A case of a 32-year-old male trader is presented with a 4-week history of severe painful red left eye, associated whitish discharge, sticky eyelids, tearing, profound visual loss, and whitish patch on the eye. Examination revealed paracentrally located 4.0 × 3.0 mm epithelial defect with an iris plugged 2 mm corneal perforation and an underlying dense, well-defined, white stromal infiltrate. Cultures yielded growth of E. specie, verified by biochemical tests (the Analytical Profile Index system Approach). He was managed on intensive antibiotics and made remarkable improvement. This highlights the need for Eye care practitioners to be mindful of the potential risk of unusual pathogen such as E. specie, causing cornea infection in our environment.

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