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P50 Sensory Gating in Infants
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[An infant with a red and swollen eyelid]

Merel Meeuwes1,2, Tom F W Wolfs1

  • 1UMC Utrecht-Wilhelmina Kinderziekenhuis, afd. Kindergeneeskunde, Utrecht.

Nederlands Tijdschrift Voor Geneeskunde
|July 9, 2019
PubMed

Insights

A rare bacterial eye infection, preseptal cellulitis, caused by Corynebacterium bovis was diagnosed in an infant. This unusual case highlights zoonotic transmission from a pet dog, emphasizing the importance of considering animal contact in pediatric infections.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Zoonotic Infections

Background:

  • Preseptal cellulitis is a common pediatric condition, typically caused by bacterial infections of the eyelid and surrounding tissues.
  • Prompt diagnosis and treatment are crucial to prevent complications such as orbital cellulitis.

Observation:

  • An 8-month-old infant presented with acute fever, left eye redness, swelling, and purulent discharge.
  • Computed tomography (CT) scan excluded orbital involvement, confirming preseptal cellulitis.

Findings:

  • Pus culture identified Corynebacterium bovis, a bacterium rarely found in human infections and typically associated with bovine colonization.
  • Genetic analysis confirmed the isolate was identical to C. bovis found in the family's pet dog, indicating zoonotic transmission.

Implications:

  • This case underscores the potential for zoonotic transmission of unusual bacteria from pets to humans, even in seemingly common infections.
  • Highlights the importance of a thorough patient history, including pet ownership, in diagnosing pediatric infections.
  • Suggests the need for increased awareness among clinicians regarding Corynebacterium bovis as a potential pathogen in pediatric ophthalmology.

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