Presentation
Patients may present with corneal ulceration, marked stromal thinning, or even as a quite corneal scar. The presentation of microsporidial stromal keratitis commonly mimics viral keratitis. [ncbi.nlm.nih.gov]
Entire Body System
- Prisoner of War
The physician Hans Reiter as a prisoner of war in Nuremberg: a contextual review of his interrogation (1945–1947). Semin Arthritis Rheum. 2003;32:208–230. doi:10.1053/sarh.2003.49995 [CrossRef] Hannu T. Reactive arthritis. [healio.com]
Respiratoric
- Aspiration
Culture of the joint aspirate grew no organism and pediatric rheumatology made a diagnosis of reactive arthritis. [healio.com]
Diagnosis of microsporidiosis currently depends on morphological demonstration of the organisms in one or more readily obtainable specimens such as stool, duodenal aspirates, urine, sputum, nasal discharge, bronchoalveolar lavage fluid, conjunctival smears [bmcophthalmol.biomedcentral.com]
Psychiatrical
- Suggestibility
The initial appearance and the severe pain were suggestive of an infectious process. Recovery was rapid following introduction of topical steroid, with features suggesting an immune process in the recovery phase. [ncbi.nlm.nih.gov]
Workup
Three of these patients were subjected to a complete microbiologic workup, but the lesions were all sterile. The lesions healed with conservative treatment of patching and, in some cases, a soft contact lens. [ncbi.nlm.nih.gov]
Microbiology
- Borrelia Burgdorferi
A positive Borrelia burgdorferi antibody enzyme immunoassay and Western blot analysis (9 of 10 reactive immunoglobulin G bands and 1 of 3 immunoglobulin M bands) confirmed the diagnosis. [ncbi.nlm.nih.gov]
- Escherichia Coli O157:H7
His travel companion, who also developed bloody diarrhea, had laboratory-confirmed Shigella dysentery, but our patient's stool cultures were negative for Salmonella, Shigella, Yersinia, Campylobacter, and Escherichia coli O157:H7. [healio.com]
HLA Type
- HLA-B27
We describe a 15-year-old HLA-B27–positive boy with infectious gastroenteritis complicated by polyarthritis and a severe painful keratitis. [healio.com]
Treatment
The most significant difference between bFGF and control treatments was observed in the development of stromal keratitis. [ncbi.nlm.nih.gov]
Prognosis
CONCLUSIONS: These results indicate that human cytotoxic T cells show a difference in numbers and natural killer cell activity that may affect the prognosis of recurrent herpetic stromal keratitis. [ncbi.nlm.nih.gov]
Prognosis: One of the hallmarks of herpes simplex virus (HSV) infection is the establishment of a lifelong latent infection accompanied by periods of recurrent disease. [missionforvisionusa.org]
Prognosis Prognosis for interstitial keratitis is good if recognized and treated early before significant corneal scarring has occurred. [eyewiki.aao.org]
(B) prognosis Drug treatment, the prognosis is optimistic. Basic Nursing Herpes simplex virus scleritis care Suitable for eating light, digestible, nutritious food, such as pig lean meat, liver, rabbit meat, lamb and so on. [healthfrom.com]
Long-term progression, prognosis, and treatment of patients with recurrent ocular manifestations of Reiter's syndrome. Ophthalmology. 2003;110:1764–1769. doi:10.1016/S0161-6420(03)00620-1 [CrossRef] Cass E. [healio.com]
Etiology
Four patients presented with unilateral, small, persisting deep stromal infiltrates, of uncertain etiology, in the cornea, which were not responding to conventional antimicrobial treatment and required penetrating keratoplasty in three. [ncbi.nlm.nih.gov]
Bacterial etiologies: Syphilis, Lyme Disease, Tuberculosis, Leprosy, Brucellosis, Leptospirosis Viral etiologies: Herpesviridae - Herpes simplex, Herpes Zoster, Epstein- Barr. [eyewiki.aao.org]
Corneal opacification and other typical findings on slit-lamp examination Serologic testing to determine etiology The specific etiology must be determined. [merckmanuals.com]
Epidemiology
We also discuss relevant epidemiologic issues regarding HSV epithelial and stromal disease. Copyright © 2012 Elsevier Inc. All rights reserved. [ncbi.nlm.nih.gov]
Descriptive Epidemiology 587 Mechanisms and Routes of Transmission 7 Pathogenesis and Immunity 590 Patterns of Host Response 591 Control and Prevention 592 References 593 Suggested Reading 595 Rocky Mountain Spotted Fever Theodore E Woodward and J Stephen [books.google.de]
Epidemiology: Most frequent cause of corneal blindness in the United States Most common source of infectious blindness in the Western world. [coreem.net]
Infection and Disease Epidemiology, p 139-169. In Stephens R (ed), Chlamydia. ASM Press, Washington, DC. doi: 10.1128/9781555818203.ch6 [asmscience.org]
The epidemiology of HSV endotheliitis is less clear at least in part because many publications include disciform HSV endotheliitis as a form of HSK. [eyewiki.aao.org]
Pathophysiology
[…] bacterial infections ( TB, Leprosy and Lyme disease ) and parasitic infections ( Acanthamoeba, Onchocerciasis or river blindness, Leishmaniasis, Trypanosoma cruzi or Chagas disease, Trypanosoma brucei or African sleeping sickness and microsporidia) [2] Pathophysiology [en.wikipedia.org]
Approximately 2 million people worldwide have impaired vision from herpetic eye disease ( Farooq 2012 ) Pathophysiology: Primary infection: occurs most commonly in the mucocutaneous or ocular distribution of the trigeminal nerve, and can present as a [coreem.net]
Intraocular pressure may be elevated secondary to trabeculitis. [14] Pathophysiology The pathophysiology of HSK is complex and remains incompletely understood. [eyewiki.aao.org]
Viral replication within the stroma probably isn’t taking place, and viral proteins haven’t been isolated in eyes with experimental HSK. 2 This intuitively makes sense when we consider viral pathophysiology: viruses are obligate intracellular pathogens [reviewofcontactlenses.com]
Prevention
A benefit was seen for preventing both epithelial keratitis (rate ratio, 0.62; 95% confidence interval, 0.39-0.97) and stromal keratitis (rate ratio, 0. 57; 95% confidence interval, 0.36-0.89). [ncbi.nlm.nih.gov]
A controlled trial of oral acyclovir for the prevention of stromal keratitis or iritis in patients with herpes simplex virus epithelial keratitis. The Epithelial Keratitis Trial. Arch Ophthalmol 1997; 115:703-712. [books.google.de]