Resolution of childhood recurrent corneal phlyctenulosis following eradication of an intestinal parasite.
Phlyctenular keratoconjunctivitis is a nodular foreign antigen delayed hypersensitivity reaction typically due to staphylococcal protein (but potentially secondary to antigen from a variety of different organisms, eg, mycobacteria and intestinal worms).(1-4) Conjunctival phlyctens are usually mild and transient, but corneal phlyctens can be severe and recurrent.(3,4) The subject of this report is a severe recurrent unilateral corneal case in a child whose stool was positive for Hymenolepsis nana. Following treatment for the intestinal parasite, the child no longer suffered from recurrent ocular surface inflammation.
Al-Amry
Mohammad A
MA
Divisions of Anterior Segment and Pediatric Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Al-Amri
Abdulrahman
A
Khan
Arif O
AO
D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000909:Antibodies, Helminth / Q000032:analysis; D000923:Anticestodal Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D003315:Cornea / Q000469:parasitology* / Q000473:pathology; D003937:Diagnosis, Differential; D015822:Eye Infections, Parasitic / Q000175:diagnosis / Q000469:parasitology*; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D006925:Hymenolepiasis / Q000188:drug therapy* / Q000469:parasitology; D006926:Hymenolepis / Q000276:immunology / Q000302:isolation & purification*; D007411:Intestinal Diseases, Parasitic / Q000188:drug therapy* / Q000469:parasitology; D007634:Keratitis / Q000175:diagnosis / Q000469:parasitology*; D008297:Male; D009883:Ophthalmic Solutions; D012008:Recurrence
D000900:Anti-Bacterial Agents; D000909:Antibodies, Helminth; D000923:Anticestodal Agents; D005938:Glucocorticoids; D009883:Ophthalmic Solutions