Queratoconjuntivitis por Vittaforma corneae: una enfermedad emergente entre los viajeros que regresan del sudeste asiático

  1. Francisco Arnalich Montiel 1
  2. Pablo de Arriba Palomero 1
  3. Elisabet de Dompablo Ventura 1
  4. Rosario Carrillo Gijón 1
  5. Rogelio López-Vélez Pérez 2
  6. Jacob Lorenzo Morales 3
  1. 1 Instituto Ramón y Cajal de Investigación Sanitaria
    info

    Instituto Ramón y Cajal de Investigación Sanitaria

    Madrid, España

    ROR https://ror.org/03fftr154

  2. 2 Hospital Ramón y Cajal
    info

    Hospital Ramón y Cajal

    Madrid, España

    ROR https://ror.org/050eq1942

  3. 3 Universidad de La Laguna
    info

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    ROR https://ror.org/01r9z8p25

Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2020

Volume: 95

Issue: 11

Pages: 569-572

Type: Article

DOI: 10.1016/J.OFTAL.2020.04.017 DIALNET GOOGLE SCHOLAR

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.