Reichart-Peter S, Manousaridis K, Dirschmid H, Mennel S
Abteilung für Augenheilkunde, Akademisches Lehrkrankenhaus Feldkirch, Carinagasse 47, 6800, Feldkirch, Österreich.
Institut für Pathologie, Akademisches Lehrkrankenhaus Feldkirch, Feldkirch, Österreich.
Ophthalmologe. 2017 Jul;114(7):653-655. doi: 10.1007/s00347-016-0350-5.
A 31-year-old woman presented with mild keratitis of her left eye. The use of daily disposable contact lenses, regularly rinsed with tap water, and the development of perineural corneal infiltrates resulted in the clinical suspicion of infection with Acanthamoeba. Corneal epithelial scraping probe for polymerase chain reaction on Acanthamoeba confirmed the clinical diagnosis. Although the treatment was limited to low-dose propamidine monotherapy because of reduced tolerability, the keratitis healed with almost no scarring after 13 months of consequent medication.
一名31岁女性左眼出现轻度角膜炎。她日常使用一次性隐形眼镜，并用自来水定期冲洗，同时出现了神经周围角膜浸润，这使得临床怀疑感染了棘阿米巴原虫。角膜上皮刮片进行棘阿米巴原虫聚合酶链反应检测证实了临床诊断。尽管由于耐受性降低，治疗仅限于低剂量的丙脒单药治疗，但经过13个月的后续药物治疗，角膜炎愈合，几乎没有留下疤痕。
