| Acanthamoeba keratitis and infectious crystalline keratopathy. | |
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MedLine Citation:
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PMID: 3314824 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Two cases of Acanthamoeba keratitis and infectious crystalline keratopathy, occurring simultaneously, are presented. Three and 12 months after initiating topical corticosteroid therapy in cases 1 and 2, respectively, alpha-hemolytic Streptococcus viridans was cultured from each cornea. Topical corticosteroid therapy was initiated for the treatment of an annular stromal opacity, presumably secondary to herpes simplex keratitis. Acanthamoeba was identified in culture following penetrating keratoplasty in case 1, and Acanthamoeba polyphaga, Acanthamoeba rhysodes, and Acanthamoeba castellanii were identified using indirect fluorescent antibody staining in case 2. Histopathologic examination and electron microscopy demonstrated sheets of cocci within stromal lamellae characteristic of infectious crystalline keratopathy and double-walled encysted organisms typical of Acanthamoeba. These case reports alert one to the possibility of developing bacterial keratitis, such as infectious crystalline keratopathy, following the use of topical corticosteroids for the treatment of Acanthamoeba keratitis. |
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Authors:
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R M Davis; R P Schroeder; J J Rowsey; H G Jensen; R C Tripathi |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of ophthalmology Volume: 105 ISSN: 0003-9950 ISO Abbreviation: Arch. Ophthalmol. Publication Date: 1987 Nov |
Date Detail:
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Created Date: 1987-12-01 Completed Date: 1987-12-01 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7706534 Medline TA: Arch Ophthalmol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1524-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Ophthalmology, Dean A. McGee Eye Institute, University of Oklahoma, Oklahoma City. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
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therapeutic use Adult Amebiasis* Corneal Diseases / complications*, pathology Corneal Transplantation Crystallization Female Humans Keratitis / complications, etiology*, pathology, therapy Male Microscopy, Electron Recurrence Streptococcal Infections / complications*, pathology |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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