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:: Volume 24, Issue 1 (Iranian Journal of Ophthalmology 2012) ::
2012, 24(1): 71-74 Back to browse issues page
Bilateral Candida Keratitis in A Patient with Transconjunctival Substance Abuse
Mehrdad Mohammadpour Dr. * , Farid Kalantari Dr., Mahmood Jabbarvand Dr., Hassan Hashemi Dr., Nasser Karimi Dr.
, mahammadpour@yahoo.com
Abstract:   (7167 Views)

Purpose : To report an unusual case of bilateral Candida keratitis in a young drug abuser

Case report : A 19-year-old man sought medical care for his left eye redness, pain and photophobia. On slit-lamp examination a well-defined paracentral exudative corneal ulcer was observed. Smear from the corneal ulcers contained pseudohyphae and accordingly a routine regime of antifungal therapy (topical drop of Amphotericin-B 0.15% q1h beside out-patient daily follow-up) was commenced. Although the signs and symptoms improved initially, the corneal ulcer grew even larger in the third day of treatment and the contralateral cornea also began to show preliminary signs of fungal infection. Further work-ups revealed that his bilateral Candida keratitis had happened in association with an unusual route of drug abuse (transconjunctival heroin abuse). Clinical response was achieved by additional topical Voriconazol (1% q1h) and systemic Fluconazol (200 mg bid).

Conclusion : Candida Keratitis in the context of previous drug abuse and the presence of bilateral keratoconjunctivitis beside kissing conjunctival lesions may serve as diagnostic clues for this very rare condition.

 

Iranian Journal of Ophthalmology 201224(1):71-74 © 2012 by the Iranian Society of Ophthalmology
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Type of Study: Case report | Subject: General
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Mohammadpour M, Kalantari F, Jabbarvand M, Hashemi H, Karimi N. Bilateral Candida Keratitis in A Patient with Transconjunctival Substance Abuse. Iranian Journal of Ophthalmology. 2012; 24 (1) :71-74
URL: http://irjo.org/article-1-604-en.html


Volume 24, Issue 1 (Iranian Journal of Ophthalmology 2012) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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