title: [Neurotrophic corneal ulcer in an HIV patient].
abstract: METHODS
  We present the case of a 29 year-old man who came to the Emergency Department due to pain in the right eye. There was demonstrated a complete corneal de-epithelialisation. There was no clinical improvement after appropriate treatment, which was complicated by migraine and vomiting. The computerized tomography (CT) scan showed images suggestive of cerebral toxoplasmosis. After the complete tarsorrhaphy a restitution ad integrum was observed.
  
  
  CONCLUSIONS
  The diagnosis of a neurotrophic corneal ulcer due to an affected trigeminal nerve in the context of a cerebral toxoplasmosis, tarsorrhaphy is an effective procedure to take in account in corneal epithelial defects resistant to other treatments.
authors.affiliation: Universidad de Alcalá de Henares, Alcalá de Henares, Madrid, España. javier paz moreno@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Paz Moreno-Arrones
authors.forename: J
authors.initials: J
authors.lastname: Benítez-Herreros
authors.forename: P
authors.initials: P
authors.lastname: Drake-Rodríguez
authors.forename: A
authors.initials: A
authors.lastname: Romero-García Tenorio
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000469:parasitology; D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000469:parasitology; D003049:Coccidiostats / Q000008:administration & dosage / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003320:Corneal Ulcer / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D004359:Drug Therapy, Combination; D005123:Eye / Q000294:innervation; D005143:Eyelids / Q000601:surgery*; D015774:Ganciclovir / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009184:Mydriatics / Q000008:administration & dosage / Q000627:therapeutic use; D009883:Ophthalmic Solutions; D014057:Tomography, X-Ray Computed; D014122:Toxoplasma / Q000302:isolation & purification; D016781:Toxoplasmosis, Cerebral / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014276:Trigeminal Nerve / Q000503:physiopathology*
chemical_list: D000900:Anti-Bacterial Agents; D003049:Coccidiostats; D009184:Mydriatics; D009883:Ophthalmic Solutions; D015774:Ganciclovir