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Unilateral Posterior Stromal Keratitis Possibly Secondary to Lyme Disease.
MedLine Citation:
PMID:  23132459     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE:: To report a case of Lyme disease presenting as unilateral posterior stromal keratitis in a pediatric patient. METHODS:: Case report and review of available literature. RESULTS:: A 13-year-old adolescent with unilateral painless blurry vision presented with prominent posterior corneal stromal haze. A positive Borrelia burgdorferi antibody enzyme immunoassay and Western blot analysis (9 of 10 reactive immunoglobulin G bands and 1 of 3 immunoglobulin M bands) confirmed the diagnosis. Treatment with oral antibiotics and topical corticosteroids were necessary for resolution. CONCLUSIONS:: Lyme disease may present as a unilateral posterior stromal keratitis, even in a pediatric population. Treatment requires both systemic and topical therapy.
Authors:
Gregory W Oldham; Gerami D Seitzman
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-5
Journal Detail:
Title:  Cornea     Volume:  -     ISSN:  1536-4798     ISO Abbreviation:  Cornea     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Krieger Eye Institute, Sinai Hospital of Baltimore, Baltimore, MD.
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