Hannibal’s Ophthalmia—A New Answer to An Ancient Question

In the spring of 217 bce, shortly after Hannibal’s famous elephantborne crossing of the Alps, the general was afflicted by an acute, painful eye condition that has never been adequately explained and that led to permanent unilateral loss of vision in 1 eye. In modern times, scant attention has been...

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Main Authors: Justin T. Denholm, Patrick N. Hunt
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2021-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/27/1/19-1696_article
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author Justin T. Denholm
Patrick N. Hunt
author_facet Justin T. Denholm
Patrick N. Hunt
author_sort Justin T. Denholm
collection DOAJ
description In the spring of 217 bce, shortly after Hannibal’s famous elephantborne crossing of the Alps, the general was afflicted by an acute, painful eye condition that has never been adequately explained and that led to permanent unilateral loss of vision in 1 eye. In modern times, scant attention has been given to understanding this condition. We review the historical and geographic evidence and consider possible infective explanations for Hannibal's condition, including elephant-associated zoonoses. Ultimately, we suggest that a keratitis from waterborne organisms, such as Pseudomonas spp. or Acanthamoeba spp., might provide the best answer to this ancient enigma.
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spelling doaj.art-93aafadced9043c4abc02e2d8248a4ce2022-12-21T23:27:18ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592021-01-0127122322510.3201/eid2701.191696Hannibal’s Ophthalmia—A New Answer to An Ancient QuestionJustin T. DenholmPatrick N. HuntIn the spring of 217 bce, shortly after Hannibal’s famous elephantborne crossing of the Alps, the general was afflicted by an acute, painful eye condition that has never been adequately explained and that led to permanent unilateral loss of vision in 1 eye. In modern times, scant attention has been given to understanding this condition. We review the historical and geographic evidence and consider possible infective explanations for Hannibal's condition, including elephant-associated zoonoses. Ultimately, we suggest that a keratitis from waterborne organisms, such as Pseudomonas spp. or Acanthamoeba spp., might provide the best answer to this ancient enigma.https://wwwnc.cdc.gov/eid/article/27/1/19-1696_articleHannibal’s ophthalmiaophthalmiaHannibalPseudomonas aeruginosaAcanthamoeba spp.bacteria
spellingShingle Justin T. Denholm
Patrick N. Hunt
Hannibal’s Ophthalmia—A New Answer to An Ancient Question
Emerging Infectious Diseases
Hannibal’s ophthalmia
ophthalmia
Hannibal
Pseudomonas aeruginosa
Acanthamoeba spp.
bacteria
title Hannibal’s Ophthalmia—A New Answer to An Ancient Question
title_full Hannibal’s Ophthalmia—A New Answer to An Ancient Question
title_fullStr Hannibal’s Ophthalmia—A New Answer to An Ancient Question
title_full_unstemmed Hannibal’s Ophthalmia—A New Answer to An Ancient Question
title_short Hannibal’s Ophthalmia—A New Answer to An Ancient Question
title_sort hannibal s ophthalmia a new answer to an ancient question
topic Hannibal’s ophthalmia
ophthalmia
Hannibal
Pseudomonas aeruginosa
Acanthamoeba spp.
bacteria
url https://wwwnc.cdc.gov/eid/article/27/1/19-1696_article
work_keys_str_mv AT justintdenholm hannibalsophthalmiaanewanswertoanancientquestion
AT patricknhunt hannibalsophthalmiaanewanswertoanancientquestion