Cristina Stan, Cristina Vlăduţiu, Mihaela Popovici
Rom J Ophthalmol. 2016 Jan-Mar;60(1):40-2.
Acanthamoeba keratitis is a rare, chronic, mainly contact lens-related infection caused by a free-living amoeba found ubiquitously in water and soil. A case of a 9-year-old child, who presented to our clinic with painful, red left eye, associated with photophobia, and decreased visual acuity, wais reported. The clinical examination revealed a discoid opacity inferiorly bounded by a dense, gray infiltrate. The progressive nature of the corneal infiltrate, the epithelial defect, and the lack of response to treatment was highly suggestive for Acanthamoeba keratitis. The distinctiveness of this case was the presence of Acanthamoeba keratitis in a child without a history of trauma or contact lens usage, the lack of an appropriate diagnosis and management of this vision-threatening infection.
棘阿米巴角膜炎是一种罕见的慢性感染，主要与隐形眼镜相关，由一种在水和土壤中普遍存在的自由生活阿米巴引起。本文报告了一例9岁儿童病例，该患儿因左眼疼痛、发红就诊于我院，伴有畏光和视力下降。临床检查发现下方有盘状混浊，边界为致密的灰色浸润。角膜浸润的进展性、上皮缺损以及对治疗无反应高度提示棘阿米巴角膜炎。该病例的独特之处在于患儿没有外伤或使用隐形眼镜的病史却发生了棘阿米巴角膜炎，且对这种威胁视力的感染缺乏恰当的诊断和处理。
