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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 67-68

Triple trouble: A case report of mixed keratitis

Department of Cornea and Refractive Services, Sankara Eye Hospital, Bangalore, Karnataka, India

Correspondence Address:
Nayana V Gowda
Sankara Eye Hospital, Kundalahalli, Bengaluru - 560 037, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2136_22

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A middle-aged female with previous history of being treated as herpes keratitis, presented with a central deep stromal ulceration and overlying neurotrophic epithelium. On re-scraping, the culture grew Pseudomonas aeruginosa and Aspergillus flavus. Due to the aggressive nature of the organisms, during follow up, a central perforation was noted, for which emergency therapeutic keratoplasty was done and post-operatively medicated with topical eye drops as per culture and sensitivity. Hence, we are presenting this rare case report of Pseudomonas aeruginosa in a non-contact lens user, along with a co-infection of Aspergillus flavus in a previously compromised cornea with herpetic keratitis.

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