title: Self-inflicted chronic bacterial keratoconjunctivitis using self semen.
abstract: This case report describes a case of self-inflicted chronic bacterial keratoconjunctivitis involving the patient's own semen. A 20-year-old male soldier was referred to our clinic for the evaluation of refractory chronic bacterial conjunctivitis. Over the previous 4 months, he had been treated for copious mucous discharge, conjunctival injection, and superficial punctate keratitis in both eyes at an army hospital and a local eye clinic. Despite the use of topical and systemic antibiotics according to the results of conjunctival swab culture, there was no improvement. During the repeated smear and culture of conjunctival swabs, surprisingly, a few sperm were detected on Gram staining, revealing that the condition was self-inflicted bacterial keratoconjunctivitis involving the patient's own semen. Thus, in cases of chronic keratoconjunctivitis that do not respond to appropriate antibiotic treatment, self-inflicted disease or malingering should be considered.
authors: Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
authors: Youngsub
authors: Y
authors: Eom
authors: Young-Ho
authors: YH
authors: Kim
authors: Seung-Hyun
authors: SH
authors: Kim
authors: Hyo Myung
authors: HM
authors: Kim
authors: Jong-Suk
authors: JS
authors: Song
mesh_terms: D002908:Chronic Disease; D003228:Conjunctiva / Q000293:injuries* / Q000382:microbiology / Q000473:pathology; D003315:Cornea / Q000382:microbiology / Q000473:pathology*; D003937:Diagnosis, Differential; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007637:Keratoconjunctivitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D008297:Male; D012652:Self Mutilation / Q000150:complications* / Q000175:diagnosis; D012661:Semen; D055815:Young Adult
keywords: Keratoconjunctivitis; Malingering; Self-inflicted disease