Cornea · 2008
Bilateral herpes simplex keratitis with unilateral secondary bacterial keratitis and corneal perforation in a patient with pityriasis rubra pilaris.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kitzmann Anna S, Goins Kenneth M, Syed Nasreen A, Wagoner Michael D
Аннотация
PURPOSE: To report a case of bilateral herpes simplex keratitis with unilateral secondary bacterial keratitis resulting in corneal perforation in a patient with pityriasis rubra pilaris.
METHODS: Case report.
RESULTS: A 77-year-old female with pityriasis rubra pilaris was referred for a perforated corneal ulcer of the left eye. Cultures were positive in both eyes for Herpes simplex and in the left eye for Pseudomonas fluorescens and Staphylococcus aureus A microbiological cure was obtained with a combination of tectonic keratoplasty, fortified topical antibiotics, and systemic acyclovir.
CONCLUSIONS: Pityriasis rubra pilaris is a rare, inflammatory dermatologic disease that may predispose patients to bilateral Herpes simplex keratitis, secondary bacterial superinfection, and a tendency toward rapid stromal ulceration with risk of perforation.
METHODS: Case report.
RESULTS: A 77-year-old female with pityriasis rubra pilaris was referred for a perforated corneal ulcer of the left eye. Cultures were positive in both eyes for Herpes simplex and in the left eye for Pseudomonas fluorescens and Staphylococcus aureus A microbiological cure was obtained with a combination of tectonic keratoplasty, fortified topical antibiotics, and systemic acyclovir.
CONCLUSIONS: Pityriasis rubra pilaris is a rare, inflammatory dermatologic disease that may predispose patients to bilateral Herpes simplex keratitis, secondary bacterial superinfection, and a tendency toward rapid stromal ulceration with risk of perforation.
Предметные рубрики MeSH
AcyclovirAdministration, OralAdministration, TopicalAgedAnti-Bacterial AgentsAntiviral AgentsBacterial InfectionsCefazolinCeftazidimeCorneal TransplantationCorneal UlcerFemaleHumansKeratitisKeratitis, HerpeticPityriasis Rubra PilarisPseudomonas InfectionsPseudomonas fluorescensStaphylococcal Infections