Goel Ruchi, Malik Krishan Pal Singh, Gaind Rajni, Goel Amit
Department of Ophthalmology, Safdarjung Hospital, New Delhi, India.
Orbit. 2007 Mar;26(1):53-5. doi: 10.1080/01676830600671169.
Actinomycotic conjunctivitis is usually unilateral and secondary to canaliculitis. We report an unusual case of bilateral actinomycotic blepharokeratoconjunctivitis in the absence of canaliculitis. Keratitis occurred without any preceding ocular trauma. Both eyes had remissions and relapses in response to the antibiotic-steroid drops. Diagnosis of A. israelii infection was made on the basis of Gram staining, culture and biochemical characteristics. Complete excision of the conjunctival ulcer along with penicillin therapy resulted in cure. This case highlights that microorganisms of the order Actinomycetales should be considered in the differential diagnosis if conjunctivitis or keratitis shows a waxing and waning course.
放线菌性结膜炎通常为单侧，继发于泪小管炎。我们报告一例罕见的双侧放线菌性睑角膜结膜炎，且无泪小管炎。角膜炎在无任何先前眼外伤的情况下发生。双眼对抗生素 - 类固醇滴眼液有缓解和复发情况。根据革兰氏染色、培养及生化特性诊断为衣氏放线菌感染。结膜溃疡的完整切除联合青霉素治疗导致治愈。该病例强调，如果结膜炎或角膜炎呈现出时好时坏的病程，在鉴别诊断中应考虑放线菌目微生物。
