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Fungal Keratitis, or Misled by a Small Insect?

The pine processionary caterpillar is an insect that has multiple small, thin hairs around its body as a defense mechanism. These hairs have a hazardous effect on ocular structures and cause a broad range of reactions from conjunctivitis to endophthalmitis, referred to as ophthalmia nodosa. The diag...

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Detalles Bibliográficos
Autores principales: Bayraktutar, Betül Nurefşan, Taş, Ayse Yıldız, Şahin, Afsun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204900/
https://www.ncbi.nlm.nih.gov/pubmed/32367702
http://dx.doi.org/10.4274/tjo.galenos.2019.30670
Descripción
Sumario:The pine processionary caterpillar is an insect that has multiple small, thin hairs around its body as a defense mechanism. These hairs have a hazardous effect on ocular structures and cause a broad range of reactions from conjunctivitis to endophthalmitis, referred to as ophthalmia nodosa. The diagnosis of the disease is based on the patient’s history and the detection of the hairs on ocular structures. In this report, we present a patient with ophthalmia nodosa misdiagnosed as fungal keratitis, and the actual diagnosis was made by in vivo confocal microscopy. We also would like to increase awareness among ophthalmologists about the disease which has a growing distribution area due to climate change.