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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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
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author Rubino, P.
Orsoni, J.G.
Rampini, A.
Mora, P.
author_facet Rubino, P.
Orsoni, J.G.
Rampini, A.
Mora, P.
author_sort Rubino, P.
collection PubMed
description 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 Previously administered drops were withdrawn and only preservative-free artificial tears were maintained.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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spelling pubmed-29144442010-08-24 Over-Treated Corneal Abscess May Be Toxic Keratopathy Rubino, P. Orsoni, J.G. Rampini, A. Mora, P. Case Rep Ophthalmol Published: June 2010 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 Previously administered drops were withdrawn and only preservative-free artificial tears were maintained.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. S. Karger AG 2010-06-11 /pmc/articles/PMC2914444/ /pubmed/20737055 http://dx.doi.org/10.1159/000315397 Text en Copyright © 2010 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: June 2010
Rubino, P.
Orsoni, J.G.
Rampini, A.
Mora, P.
Over-Treated Corneal Abscess May Be Toxic Keratopathy
title Over-Treated Corneal Abscess May Be Toxic Keratopathy
title_full Over-Treated Corneal Abscess May Be Toxic Keratopathy
title_fullStr Over-Treated Corneal Abscess May Be Toxic Keratopathy
title_full_unstemmed Over-Treated Corneal Abscess May Be Toxic Keratopathy
title_short Over-Treated Corneal Abscess May Be Toxic Keratopathy
title_sort over-treated corneal abscess may be toxic keratopathy
topic Published: June 2010
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914444/
https://www.ncbi.nlm.nih.gov/pubmed/20737055
http://dx.doi.org/10.1159/000315397
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AT orsonijg overtreatedcornealabscessmaybetoxickeratopathy
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AT morap overtreatedcornealabscessmaybetoxickeratopathy

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