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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 640-642

Atypical keratitis caused by Leifsonia aquatica with “cracked windshield” appearance and disabling ocular pain


Tecnologico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico

Correspondence Address:
Dr. Julio C Hernandez-Camarena
Tecnologico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Av. Batallon de San Patricio #112. Col. Real de San Agustin, N.L. CP. 66278
Mexico
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3115_20

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Microbial keratitis is a potentially sight-threatening complication of contact lens (CL) wear. Microbiological investigations, close follow-up, and culture-guided treatment are mandatory to achieve a favorable outcome. Poor CL hygiene and exposure to contaminated water, associated with severe ocular pain, are hallmarks of Acanthamoeba keratitis (AK). However, AK is characterized by an insidious onset. We report a case of an acute onset CL-related keratitis associated with L. aquatica, a Gram-positive bacterium. A history of river water exposure and disabling ocular pain, which resembled AK but with unusual slit-lamp findings, made the diagnosis challenging.


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