Over-Treated Corneal Abscess May Be Toxic Keratopathy

BACKGROUND/AIMS: Keratitis, especially when long-standing and unresponsive to common antimicrobial treatment, leads to a suspicion of fungal aetiology. METHODS: Photographically documented case report. RESULTS: A 65-year-old man with diabetes was referred for corneal abscess unresponsive to antibiot...

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Detalles Bibliográficos
Autores principales: Rubino, P., Orsoni, J.G., Rampini, A., Mora, P.
Formato: Texto
Lenguaje:English
Publicado: S. Karger AG 2010
Materias:
Published: June 2010
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914444/
https://www.ncbi.nlm.nih.gov/pubmed/20737055
http://dx.doi.org/10.1159/000315397
Descripción
Sumario:BACKGROUND/AIMS: Keratitis, especially when long-standing and unresponsive to common antimicrobial treatment, leads to a suspicion of fungal aetiology. METHODS: Photographically documented case report. RESULTS: A 65-year-old man with diabetes was referred for corneal abscess unresponsive to antibiotic and antifungal treatment lasting 6 weeks. Corneal biopsy was performed following a 72-hour washout for identification of bacteria and fungi. Previously administered drops were withdrawn and only preservative-free artificial tears were maintained. Neither bacteria nor fungi were cultured. After 2 weeks, the clinical situation had conspicuously improved. CONCLUSION: Over-treatment of corneal affections fearing mycosis may lead to toxic keratopathy.

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