Microsporidial Stromal Keratitis, a Case Report

IF 0.4 Q4 INFECTIOUS DISEASES Infectious Diseases in Clinical Practice Pub Date : 2023-10-16 DOI:10.1097/ipc.0000000000001300
Monchai Duangpraphat, Dhitiwat Changpradub, Worawong Chueansuwan
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Abstract

Abstract Ophthalmic manifestation in Microsporidium spp. was observed in this patient having experienced decreased vision at the right eye for 1 month. The patient worked as an organic farmer. She was at risk because of exposure to water while watering plants. The confocal microscopy performed on the right eye showed marked dendritic cells. The corneal biopsy was proven by tiny dot-like organisms in acid-fast stain and modified acid-fast stain. In addition, the positive polymerase chain reaction test result for Microsporidium spp. supported the diagnosis. The patient was treated with an intensive course of topical biguanides, antimicrobial agents, and penetrating keratoplasty.
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微孢子性间质角膜炎1例报告
摘要本例患者右眼视力下降1个月,观察到小孢子虫的眼部表现。病人是一名有机农场主。她在给植物浇水时接触到了水,因此处于危险之中。右眼共聚焦显微镜显示有明显的树突状细胞。在抗酸染色和改良抗酸染色中,角膜活检证实有微小的点状生物。此外,微孢子虫聚合酶链反应阳性结果支持诊断。患者接受了一个强化疗程的外用双胍类药物、抗菌药物和穿透性角膜移植术。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
78
期刊介绍: Medical professionals seeking an infectious diseases journal with true clinical value need look no further than Infectious Diseases in Clinical Practice. Here, clinicians can get full coverage consolidated into one resource, with pertinent new developments presented in a way that makes them easy to apply to patient care. From HIV care delivery to Hepatitis C virus testing…travel and tropical medicine…and infection surveillance, prevention, and control, Infectious Diseases in Clinical Practice delivers the vital information needed to optimally prevent and treat infectious diseases. Indexed/abstracted in: EMBASE, SCOPUS, Current Contents/Clinical Medicine
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