Baudouin C, Simitzis-Le Flohic A M, Peirone D, Le Fichoux Y, Gastaud P
Service d'Ophtalmologie, Hôpital Saint-Roch, Nice.
Presse Med. 1990 Nov 17;19(38):1759-61.
A new case of Acanthamoeba keratitis in a young woman using contact lenses is reported. Although the patient strictly complied with decontamination rules, she developed a huge corneal abscess invading the anterior chamber. After a misleading initial phase, the diagnosis was suspected on clinical grounds and was confirmed by parasitologists. The infection followed a favourable course, thereby avoiding surgery and its unpredictable consequences, but an opaque speck remained in the centre of the cornea. This case illustrates a pathology which is getting less and less exceptional, even in France where such pathogens can be found in the water for normal household use. Subjects wearing contact lenses and who are particularly exposed should be warned of the risk of infection they incur. Doctors should be taught to bear this diagnosis in mind in order to guide parasitological investigations and to obtain confirmation as early as possible.
报告了一名使用隐形眼镜的年轻女性患棘阿米巴角膜炎的新病例。尽管患者严格遵守了消毒规则，但她仍出现了一个巨大的角膜脓肿并侵入前房。在经历了一个误导性的初始阶段后，临床怀疑了该诊断，并经寄生虫学家确诊。感染过程较为顺利，从而避免了手术及其不可预测的后果，但角膜中央仍留下了一个不透明斑点。该病例说明了一种即使在法国（正常家庭用水中也能发现此类病原体）也越来越常见的病理情况。应警告佩戴隐形眼镜且特别易感染的人群其面临的感染风险。应教导医生牢记这一诊断，以便指导寄生虫学检查并尽早获得确诊。
