This is a case report of contact-lens related, infectious keratitis with a subsequentperforation. A tectonic penetrating keratoplasty was performed and Sphingomonas paucimobiliswas cultured from the corneal button. One week post surgery, the patient developed are-infection involving the donor button. This was treated based on culture and sensitivity of thecorneal button and the infection resolved. Two months post surgery, the patient’s vision wascounting fingers in the affected eye. The corneal infection had completely resolved, but the grafthad failed despite the use of topical steroids.