Open AccessPythium insidiosumandAcanthamoebakeratitis in a contact lens user
Author(s) -
Anita Raghavan,
Prathyusha Bellamkonda,
Leonel Mendoza,
Ram Rammohan
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226386
Subject(s) - acanthamoeba keratitis , keratitis , acanthamoeba , pythium , contact lens , fulminant , medicine , microbiology and biotechnology , oomycete , dermatology , biology , ophthalmology , pathogen , immunology , botany
The oomycete Pythium and the protozoan Acanthamoeba can cause fulminant and recalcitrant keratitis, respectively. These infections are not only sight-threatening but can also threaten the structural integrity of the eye. A high index of suspicion is required to identify Pythium keratitis given its uncommon occurrence. Acanthamoeba keratitis is most commonly associated with contact lens wear. However, its coexistence with Pythium has not been reported. We present the successful management of a case of contact lens-related keratitis, coinfected with Pythium and Acanthamoeba.