Acanthamoeba and Stenotrophomonas maltophilia keratitis with fungal keratitis in the contralateral eye.
OBJECTIVE
The purpose of this study is to describe the diagnosis, course, and outcome of a case of Acanthamoeba and Stenotrophomonas keratitis with a fungal keratitis in the contralateral eye.


METHODS
A case of Acanthamoeba and Stenotrophomonas keratitis was diagnosed with confocal microscopy and cultures with confocal diagnosis of fungal keratitis in the fellow eye.


RESULTS
During the initial treatment of the Acanthamoeba and Stenotrophomonas keratitis, the contralateral eye developed a keratitis that demonstrated hyphae in the corneal stroma with confocal microscopy consistent with fungal keratitis.


CONCLUSIONS
Bilateral chronic keratitis cannot be assumed to be caused by the same organism and independent cultures, and confocal microscopy needs to be performed to direct appropriate therapy.
Department of Ophthalmology, The Ohio State University, Columbus, OH, USA.
Thomas F
TF
Mauger
Rebecca Ann
RA
Kuennen
Reynell Harder
RH
Smith
William
W
Sawyer