Marginal corneal ulcers with acute beta streptococcal conjunctivitis and chronic dacryocystitis.

Abstract:

:A 73-year-old woman had right dacryocystitis, intense conjunctival hyperemia and chemosis, marginal corneal ulcers, and abscesses and conjunctival cultures that were positive for beta hemolytic streptococci. A distinct lucid interval separated the peripheral corneal ulcers and infiltrates from the corneoscleral limbus. Gram stain of corneal scrapings revealed polymorphonuclear leukocytes but no bacteria, and corneal cultures were negative for bacteria. The peripheral corneal ulcers and abscesses in our patient with the lacrimal conjunctivitis of Morax clinically resembled the catarrhal ulcers found with staphylococcal blepharitis. A hypersensitivity or toxic reaction to streptococci or their products may have played a role in the development of the marginal ulcers in this patient.

journal_name

Am J Ophthalmol

authors

Cohn H,Mondino BJ,Brown SI,Hall GD

doi

10.1016/0002-9394(79)90246-0

subject

Has Abstract

pub_date

1979-04-01 00:00:00

pages

541-3

issue

4

eissn

0002-9394

issn

1879-1891

pii

0002-9394(79)90246-0

journal_volume

87

pub_type

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