title: [A case of free-living Amoebae keratitis in a non contact lens wearer].
abstract: 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.
authors.affiliation: Laboratoire de parasitologie mycologie, Hôpital du Bocage, Dijon.
authors.forename: D
authors.initials: D
authors.lastname: Lakomy
authors.forename: M
authors.initials: M
authors.lastname: Soulié
authors.forename: J
authors.initials: J
authors.lastname: Bador
authors.forename: S
authors.initials: S
authors.lastname: Valot
authors.forename: C
authors.initials: C
authors.lastname: L'Ollivier
authors.forename: F
authors.initials: F
authors.lastname: Dalle
authors.forename: A
authors.initials: A
authors.lastname: Bron
authors.forename: C
authors.initials: C
authors.lastname: Creuzot-Garcher
authors.forename: O
authors.initials: O
authors.lastname: Vagner
authors.forename: A
authors.initials: A
authors.lastname: Bonnin
mesh_terms: D000048:Acanthamoeba / Q000302:isolation & purification; D015823:Acanthamoeba Keratitis / Q000175:diagnosis* / Q000209:etiology; D000368:Aged; D000818:Animals; D003261:Contact Lenses; D006801:Humans; D008297:Male