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Radial Keratoneuritis in Aeromonas Keratitis
방사상각막신경염의 임상양상을 보인 에로모나스 각막염
JKOS 2019 Aug;60(8):792-6
Published online August 15, 2019;  https://doi.org/10.3341/jkos.2019.60.8.792
Copyright © 2019 The Korean Ophthalmological Society.
PDF Download Count: 60 / View Count: 54

Yeseul Kim, MD1, Hee Bong Shin, MD, PhD2, Si Hyung Lee, MD1
김예슬1 · 신희봉2 · 이시형1

Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine1, Bucheon, Korea
Department of Laboratory Medicine and Genetics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine2, Bucheon, Korea
순천향대학교 의과대학 부천병원 안과학교실1, 순천향대학교 의과대학 부천병원 진단검사유전학교실2
Received January 3, 2019; Revised January 15, 2019; Accepted July 18, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: We report a case of Aeromonas keratitis presenting as radial keratoneuritis.
Case summary: A 33-year-old woman with a history of cleaning her contact lenses with tap water presented with decreased visual acuity for 1 day in the left eye. The patient showed diffuse corneal edema, stromal infiltration, and radial keratoneuritis, which were thought to be pathognomonic for Acanthamoeba keratitis. Based on the patient’s clinical findings and past history, a diagnosis of Acanthamoeba keratitis was made and she was prescribed topical fortified cefazolin (50 mg/mL, 5%), tobramycin (3 mg/mL), and 0.02% chlorhexidine per hour. Culture results from the contact lens and contact lens solution confirmed infection by Aeromonas hydrophilia. Polymerase chain reaction results for Acanthamoeba were negative. After 8 days of treatment, the uncorrected visual acuity was 0.7/0.3 with improvement in her corneal findings.
Conclusions: Radial keratoneuritis is not always pathognomic for Acanthamoeba keratitis and can be present in Aeromonas keratitis. Therefore, ophthalmologists should be cautious when interpreting this clinical sign.
Keywords : Aeromonas, Cornea, Radial keratoneuritis

 

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