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Coexistent adenoviral keratoconjunctivitis and Acanthamoeba keratitis
Author(s) -
Gajdatsy Adam D,
Kosmin Alan,
Barrett Graham D
Publication year - 2000
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1046/j.1442-9071.2000.00352.x
Subject(s) - acanthamoeba , acanthamoeba keratitis , medicine , keratitis , microbiology and biotechnology , keratoconjunctivitis , cornea , virology , biology , dermatology , ophthalmology
A 17‐year‐old youth presented with bilateral follicular conjunctivitis and nummular subepithelial corneal infiltrates. Failure of this to settle in an outpatient setting led to corneal scraping with microscopy and culturing for bacteria, fungi, Herpes simplex, adenovirus and Acanthamoeba as an inpatient. Polymerase chain reaction analysis of corneal cells was positive for adenovirus, and culture on live Escherichia coli‐ coated agar plates was positive for Acanthamoeba by phase contrast microscopy on day two. We conclude that Acanthamoeba infection can complicate adenoviral keratoconjunctivitis. This observation is in keeping with previously reported modes of infection by Acanthamoeba , whereby any epithelial breach seems to allow inoculation of the eye by this opportunistic organism.