Microsporidial Stromal Keratitis, a Case Report

Author:

Duangpraphat Monchai,Changpradub Dhitiwat,Chueansuwan Worawong

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Infectious Diseases,Microbiology (medical)

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