Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy

Microsporidial stromal keratitis is refractory to topical drugs and is classically described in immunocompetent hosts. A 55-year-old patient with renal transplant and oral immunosuppressants, presented with a 15-day history of redness, pain, and diminution of vision in the right eye. Slit-lamp exami...

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Autores principales: Kaur, Amanjot, Sahu, Srikant K, Mitra, Sanchita, Das, Sujata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774215/
https://www.ncbi.nlm.nih.gov/pubmed/33120689
http://dx.doi.org/10.4103/ijo.IJO_2348_20
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author Kaur, Amanjot
Sahu, Srikant K
Mitra, Sanchita
Das, Sujata
author_facet Kaur, Amanjot
Sahu, Srikant K
Mitra, Sanchita
Das, Sujata
author_sort Kaur, Amanjot
collection PubMed
description Microsporidial stromal keratitis is refractory to topical drugs and is classically described in immunocompetent hosts. A 55-year-old patient with renal transplant and oral immunosuppressants, presented with a 15-day history of redness, pain, and diminution of vision in the right eye. Slit-lamp examination revealed epithelial defect and mid-stromal infiltrate. On corneal scraping, microsporidial spores were observed. The patient was started on topical 0.02% polyhexamethylene biguanide (PHMB) and the infiltrate resolved after 6 weeks of initiation of topical therapy.
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spelling pubmed-77742152021-01-07 Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy Kaur, Amanjot Sahu, Srikant K Mitra, Sanchita Das, Sujata Indian J Ophthalmol Case Reports Microsporidial stromal keratitis is refractory to topical drugs and is classically described in immunocompetent hosts. A 55-year-old patient with renal transplant and oral immunosuppressants, presented with a 15-day history of redness, pain, and diminution of vision in the right eye. Slit-lamp examination revealed epithelial defect and mid-stromal infiltrate. On corneal scraping, microsporidial spores were observed. The patient was started on topical 0.02% polyhexamethylene biguanide (PHMB) and the infiltrate resolved after 6 weeks of initiation of topical therapy. Wolters Kluwer - Medknow 2020-11 2020-10-26 /pmc/articles/PMC7774215/ /pubmed/33120689 http://dx.doi.org/10.4103/ijo.IJO_2348_20 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Reports
Kaur, Amanjot
Sahu, Srikant K
Mitra, Sanchita
Das, Sujata
Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy
title Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy
title_full Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy
title_fullStr Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy
title_full_unstemmed Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy
title_short Microsporidial stromal keratitis in an immunocompromised patient: Successful management with medical therapy
title_sort microsporidial stromal keratitis in an immunocompromised patient: successful management with medical therapy
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774215/
https://www.ncbi.nlm.nih.gov/pubmed/33120689
http://dx.doi.org/10.4103/ijo.IJO_2348_20
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