Achromobacter Xylosoxidans에 의한 만성눈물주머니염 1예

A Case of Chronic Dacryocystitis Caused by Achromobacter Xylosoxidans

Purpose: To report a case of chronic dacryocystitis caused by Achromobacter xylosoxidans. Case summary: A 73-year-old female was referred to our clinic for management of chronic dacryosyctitis from which she did not to recover despite empirical therapy. A. xylosoxidans was isolated from purulent discharge. Based on the results of susceptibility testing, therapy was changed to fortified ceftazidime eye-drop 6 times a day and intravenous tazocin 4.5 g/20 ml (piperacillin 2 g/tazobactam 0.25 g) 3 times a day. All symptoms were resolved after treatment with sensitive antibiotics and external dacryocystorhinostomy. Conclusions: To our knowledge, this is the first report of A. xylosoxidans dacryocystitis. A. xylosoxidans are rare but potential pathogens which cause dacryocystitis. The cultures and sensitivity test were collected and processed to detect the presence of unusual pathogens in a case with persistent infection despite conventional treatment. J Korean Ophthalmol Soc 2011;52(8):979-983