[A case of free-living Amoebae keratitis in a non contact lens wearer].
Free living amoebae keratitis is a rare but severe infection due to ubiquitous protozoa of the genus Acanthamoeba. Most cases occur in contact lens wearers. In the present paper, we report a case of Acanthamoeba keratitis secondary to a vegetal injury of the cornea in a patient who did not wear contact lens. This case emphasizes the fact that the visual outcome is dependent on early treatment and outlines the need for a rapid diagnosis of amoebic keratitis. The diagnosis is based essentially on culture of trophozoïtes and cysts of the parasite from a corneal scrape or a biopsy specimen. The treatment is long, difficult and often a failure. Successful management of amoebic keratitis infection thus requires constant dialogue between the physician and the clinical microbiologist, a quality sample and efficient laboratory tests.
Lakomy
D
D
Laboratoire de parasitologie mycologie, Hôpital du Bocage, Dijon.
Soulié
M
M
Bador
J
J
Valot
S
S
L'Ollivier
C
C
Dalle
F
F
Bron
A
A
Creuzot-Garcher
C
C
Vagner
O
O
Bonnin
A
A
D000048:Acanthamoeba / Q000302:isolation & purification; D015823:Acanthamoeba Keratitis / Q000175:diagnosis* / Q000209:etiology; D000368:Aged; D000818:Animals; D003261:Contact Lenses; D006801:Humans; D008297:Male