Abstract

Xanthomonas maltophilia (originally Pseudomonas maltophilia and subsequently Stenotrophomonas maltophilia) is a ubiquitous free-living gram-negative bacillus that can be isolated from soil, water, and var­ ious plants and animals.' It has become an increasing­ ly important cause of nosocomial infection, especially in immunocompromised patients.2 X. maltophilia has only rarely been reported as a pathogen in ocular infections. In a series of 15 exter­ nal infections, it was the predominant isolate in 5 cases and part of a polymicrobial infection in 10 cases. l These included eight cases of bacterial keratitis, two cases of acute conjunctivitis, two infected scleral buckles, two cases of infantile dacryocystitis and one case of preseptal cellulitis. X. maltophilia endophthalmitis has been reported following implantation of a su stained-release ganci­ clovir pellet in a patient with the acquired immunode­ ficiency syndrome,3 after cataract surgery in seven immunocompetent patients4-6 and following injury in two immunocompetent patients,?,8

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