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Acanthamoeba and Stenotrophomonas maltophilia keratitis with fungal keratitis in the contralateral eye

Authors Thomas F Mauger, Rebecca Ann Kuennen, Reynell Harder Smith, et al

Published 19 October 2010 Volume 2010:4 Pages 1207—1209

DOI https://doi.org/10.2147/OPTH.S14507

Review by Single-blind

Peer reviewer comments 3

Thomas F Mauger, Rebecca Ann Kuennen, Reynell Harder Smith, William Sawyer
Department of Ophthalmology, The Ohio State University, Columbus, OH, USA

Purpose: The purpose of this study is to describe the diagnosis, course, and outcome of a case of Acanthamoeba and Stenotrophomonas keratitis with a fungal keratitis in the contralateral eye.
Methods: A case of Acanthamoeba and Stenotrophomonas keratitis was diagnosed with confocal microscopy and cultures with confocal diagnosis of fungal keratitis in the fellow eye.
Results: During the initial treatment of the Acanthamoeba and Stenotrophomonas keratitis, the contralateral eye developed a keratitis that demonstrated hyphae in the corneal stroma with confocal microscopy consistent with fungal keratitis.
Conclusions: Bilateral chronic keratitis cannot be assumed to be caused by the same organism and independent cultures, and confocal microscopy needs to be performed to direct appropriate therapy.

Keywords: Acanthamoeba, Stenotrophomonas, confocal, fungus, keratitis

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