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Bilateral actinomycotic blepharokeratoconjunctivitis.

Ruchi Goel1, Krishan Pal Singh Malik, Rajni Gaind

  • 1Department of Ophthalmology, Safdarjung Hospital, New Delhi, India. gruchi1@rediffmail.com

Orbit (Amsterdam, Netherlands)
|May 19, 2007
PubMed
Summary
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This study details a rare case of bilateral actinomycotic blepharokeratoconjunctivitis, an infection of the eye, without the usual preceding canaliculitis. Complete surgical removal and penicillin treatment successfully cured the condition.

Area of Science:

  • Ophthalmology
  • Medical Microbiology

Background:

  • Actinomycotic conjunctivitis is typically unilateral and linked to canaliculitis.
  • Actinomycetales are filamentous bacteria that can cause chronic infections.

Observation:

  • An unusual case of bilateral actinomycotic blepharokeratoconjunctivitis occurred without associated canaliculitis or prior ocular trauma.
  • The condition presented with recurrent remissions and relapses despite antibiotic-steroid treatment.

Findings:

  • Diagnosis of Actinomyces israelii infection was confirmed via Gram staining, culture, and biochemical tests.
  • Complete excision of the conjunctival ulcer combined with penicillin therapy led to a full recovery.

Implications:

  • This case underscores the importance of considering Actinomycetales in the differential diagnosis of persistent or relapsing conjunctivitis and keratitis.

Related Experiment Videos

  • Ophthalmologists should be aware of this atypical presentation, especially when standard treatments fail.