Acanthamoeba keratitis in a 5-year-old boy without a history of contact lens usage.

Abstract:

PURPOSE:This study was designed to report a case of acanthamoeba keratitis in a 5-year-old child without a history of trauma or contact lens usage. METHODS:The history, clinical presentation, diagnostic, and therapeutic approaches were reviewed. RESULTS:A 5-year-old child without any history of trauma or contact lens use was referred to our university clinic with an initial diagnosis of disciform herpetic keratitis. After 2 weeks of antibacterial and antiviral therapy, a corneal biopsy was performed for diagnostic purposes. The biopsy revealed acanthamoeba. Subsequently intensive therapy with chlorhexidine diacetate 0.02%, ketoconazole tb, hexamidine di-isethionate 0.1% was initiated. At the end of the first month, topical prednisolone acetate 1% was added to reduce inflammation, Chlorhexidine diacetate 0.02% and oral ketoconazole were discontinued, and hexamidine di-isethionate 0.1% was lowered to 4 x 1 and was administered for an additional 4 months. At the end of 5 months, all medications were withdrawn and amblyopia treatment was started. CONCLUSION:When dealing with keratitis in children, acanthamoeba should be considered even without history of contact lens usage or trauma.

journal_name

Cornea

journal_title

Cornea

authors

Demirci G,Ay GM,Karabas LV,Altintas O,Tamer GS,Cağlar Y

doi

10.1097/01.ico.0000178723.26940.74

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

356-8

issue

3

eissn

0277-3740

issn

1536-4798

pii

00003226-200604000-00020

journal_volume

25

pub_type

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