Vibrio vulnificus corneal ulcer: rapid resolution of a virulent pathogen

Abstract

Purpose: To describe a corneal ulcer due to Vibrio vulnificus that resolved rapidly with antibiotic therapy alone.

Method: Case report and review of literature.

Results: This is the third reported case of corneal ulcer due to V. vulnificus. All followed trauma sustained during oyster shucking. Both prior cases required invasive therapy to achieve a cure. Our case responded rapidly to hourly treatment with ciprofloxacin, Neosporin, and fortified vancomycin.

Conclusion: V. vulnificus is a virulent pathogen that can infect the cornea after shellfish injury to the eye. Clinical suspicion and early therapy with appropriate antibiotics can lead to an excellent outcome.