A Case of Keratoconjunctivitis Caused by Chlamydophila Psittaci.

Choi, Yun Jeong; Jun, Roo Min

doi:2010.51.4.611

J Korean Ophthalmol Soc > Volume 51(4); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(4):611-615.
DOI: https://doi.org/10.3341/jkos.2010.51.4.611 Published online April 15, 2010.

A Case of Keratoconjunctivitis Caused by Chlamydophila Psittaci.

Yun Jeong Choi, Roo Min Jun

Department of Ophthalmology, Ewha Womans University School of Medicine, Seoul, Korea. jrmoph@ewha.ac.kr

클라미디아 시타시에 의한 비전형 유두 각결막염 1예

최윤정ㆍ전루민

Department of Ophthalmology, Ewha Womans University School of Medicine, Seoul, Korea

Abstract

PURPOSE
Only a few cases of keratoconjunctivitis caused by Chlamydophila psittaci have been reported worldwide, and no case reported in Korea. We report an atypical case of keratoconjunctivitis caused by Chlamydophila psittaci. CASE SUMMARY: A 34-year-old male patient who had raised a parrot at home presented with three weeks of conjunctival injection and a week of ocular pain in his left eye. There were papillae on the left upper and lower tarsal conjunctiva and punctuate epithelial erosion of the entire cornea. He also complained of dizziness, fever, and dyspnea. Upon chest X-ray, consolidation on the right middle lobe was apparent. The Chlamydophila IgM antibody test was positive, and the pneumonia improved quickly. Nevertheless, signs of keratoconjunctivitis persisted despite 3-week treatment with oral doxycycline. As a result, the patient received an additional 10-day treatment with oral azithromycin. Four weeks after the first visit, symptoms were improving gradually, and, after six weeks, no signs of keratoconjunctivitis remained except minimal erosion. CONCLUSIONS: When patients show keratoconjunctivitis after contact with a bird, prolonged ketatoconjunctivitis by Chlamydophila psittaci should be considered.

Key Words: Birds;Chlamydophila psittaci;Keratoconjunctivitis