Leptotrichia species isolated from a chronic recurrent corneal ulcer
Purpose: To report a case of recurrent corneal ulcer caused by an oropharyngeal cavity pathogen. Observations: A patient presented with recurrent corneal ulcers with hypopyon. Leptotrichia species was eventually isolated from the corneal ulcer on bacterial polymerase chain reaction (PCR) after many...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993621001778 |
| _version_ | 1818600762300694528 |
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| author | Joanne W. Ho Thomas Meirick Dhruba J. SenGupta Shu Feng |
| author_facet | Joanne W. Ho Thomas Meirick Dhruba J. SenGupta Shu Feng |
| author_sort | Joanne W. Ho |
| collection | DOAJ |
| description | Purpose: To report a case of recurrent corneal ulcer caused by an oropharyngeal cavity pathogen. Observations: A patient presented with recurrent corneal ulcers with hypopyon. Leptotrichia species was eventually isolated from the corneal ulcer on bacterial polymerase chain reaction (PCR) after many negative bacterial culture attempts. Due to correct identification of the pathogen, it was discovered that the patient was exposing her eye to saliva. Modification of patient behavior and initiation of the appropriate antibacterial treatment resulted in resolution of recurrent episodes of active infection. Conclusions: Although Leptotrichia species are not typically ocular pathogens, they can become pathogenic in the cornea with direct transmission from the oral cavity to the eye. |
| first_indexed | 2024-12-16T12:40:38Z |
| format | Article |
| id | doaj.art-cb0c424e53c44dc08d9a258115e28aad |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-16T12:40:38Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-cb0c424e53c44dc08d9a258115e28aad2022-12-21T22:31:26ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-09-0123101168Leptotrichia species isolated from a chronic recurrent corneal ulcerJoanne W. Ho0Thomas Meirick1Dhruba J. SenGupta2Shu Feng3Department of Ophthalmology, University of Washington. 325 9th Ave Box 359608, Seattle, WA, USADepartment of Ophthalmology, University of Washington. 325 9th Ave Box 359608, Seattle, WA, USADepartment of Laboratory Medicine and Pathology, University of Washington Medical Center 1959 Pacific Street NE, Seattle, WA, USADepartment of Ophthalmology, University of Washington. 325 9th Ave Box 359608, Seattle, WA, USA; Corresponding author. 325 9th Ave Box 359608, Seattle, WA.Purpose: To report a case of recurrent corneal ulcer caused by an oropharyngeal cavity pathogen. Observations: A patient presented with recurrent corneal ulcers with hypopyon. Leptotrichia species was eventually isolated from the corneal ulcer on bacterial polymerase chain reaction (PCR) after many negative bacterial culture attempts. Due to correct identification of the pathogen, it was discovered that the patient was exposing her eye to saliva. Modification of patient behavior and initiation of the appropriate antibacterial treatment resulted in resolution of recurrent episodes of active infection. Conclusions: Although Leptotrichia species are not typically ocular pathogens, they can become pathogenic in the cornea with direct transmission from the oral cavity to the eye.http://www.sciencedirect.com/science/article/pii/S2451993621001778Corneal ulcerKeratitisLeptotrichiaPersistent epithelial defectRecurrent ulcerOropharyngeal flora |
| spellingShingle | Joanne W. Ho Thomas Meirick Dhruba J. SenGupta Shu Feng Leptotrichia species isolated from a chronic recurrent corneal ulcer American Journal of Ophthalmology Case Reports Corneal ulcer Keratitis Leptotrichia Persistent epithelial defect Recurrent ulcer Oropharyngeal flora |
| title | Leptotrichia species isolated from a chronic recurrent corneal ulcer |
| title_full | Leptotrichia species isolated from a chronic recurrent corneal ulcer |
| title_fullStr | Leptotrichia species isolated from a chronic recurrent corneal ulcer |
| title_full_unstemmed | Leptotrichia species isolated from a chronic recurrent corneal ulcer |
| title_short | Leptotrichia species isolated from a chronic recurrent corneal ulcer |
| title_sort | leptotrichia species isolated from a chronic recurrent corneal ulcer |
| topic | Corneal ulcer Keratitis Leptotrichia Persistent epithelial defect Recurrent ulcer Oropharyngeal flora |
| url | http://www.sciencedirect.com/science/article/pii/S2451993621001778 |
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