Queratoconjuntivitis por Vittaforma corneae: una enfermedad emergente entre los viajeros que regresan del sudeste asiático
- Francisco Arnalich Montiel 1
- Pablo de Arriba Palomero 1
- Elisabet de Dompablo Ventura 1
- Rosario Carrillo Gijón 1
- Rogelio López-Vélez Pérez 2
- Jacob Lorenzo Morales 3
-
1
Instituto Ramón y Cajal de Investigación Sanitaria
info
-
2
Hospital Ramón y Cajal
info
-
3
Universidad de La Laguna
info
ISSN: 0365-6691
Year of publication: 2020
Volume: 95
Issue: 11
Pages: 569-572
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Metrics
SCImago Journal Rank
- Year 2020
- SJR Journal Impact: 0.243
- Best Quartile: Q4
- Area: Ophthalmology Quartile: Q4 Rank in area: 93/130
Scopus CiteScore
- Year 2020
- CiteScore of the Journal : 0.7
- Area: Ophthalmology Percentile: 26
Dimensions
(Data updated as of 09-04-2023)- Total citations: 0
- Recent citations: 0
- Field Citation Ratio (FCR): 0.0
Abstract
Microsporidium keratoconjunctivitis is an very rare disease. It is related to outbreaks in Asia due to exposure to contaminated water or soil. Microsporidium keratoconjunctivitis is a a self-limited disease, but it could have long term courses. We present the case of a 29 year old woman who started with pain, redness and blurred vision after a holiday in Singapore and did not respond to conjunctivitis treatment. PCR sequencing and PAS staining of corneal epithelial biopsy identified Vittaforma corneae as the causative organism. Treatment was initiated with corneal debridement, oral albendazol, and intensive topical voriconazole, levofloxacin and propamidine, but the conjunctival and corneal disease was only resolved 5 months later with the introduction of topical steroids to treat her severe limbitis. Suspicion of Microsporidium keratoconjunctivitis should be raised amongst ophthalmologists in unilateral keratitis with mild conjunctivitis in travelers from Asia.