title: [Bilateral herpetic keratouveitis in an immunocompetent patient].
abstract: METHODS
  We report the case of an immunocompetent male who presented with a limbal-adjacent scleritis and interstitial keratitis in the left eye. A few days later a new dendritiform ulcer in his right eye and bilateral progressive worsening with granulomatous uveitis in both eyes were observed. A thorough review of systems revealed positive serum IgM titles for herpes simplex virus.
  
  
  CONCLUSIONS
  In the context of a bilateral keratouveitis refractory to conventional treatment it is mandatory to rule out the herpetic origin based on the different forms of clinical presentation of this virus.
authors.affiliation: Servicio de Oftalmología, Complejo Asistencial Universitario de León, León, España. Electronic address: bmescuer@gmail.com.
authors.forename: B
authors.initials: B
authors.lastname: Martín-Escuer
authors.affiliation: Servicio de Oftalmología, Complejo Asistencial Universitario de León, León, España.
authors.forename: M
authors.initials: M
authors.lastname: Cordero-Coma
authors.affiliation: Servicio de Oftalmología, Complejo Asistencial Universitario de León, León, España.
authors.forename: E
authors.initials: E
authors.lastname: Pérez-Díez
authors.affiliation: Servicio de Oftalmología, Complejo Asistencial Universitario de León, León, España.
authors.forename: I
authors.initials: I
authors.lastname: Garzo-García
authors.affiliation: Servicio de Microbiología, Complejo Asistencial Universitario de León, León, España.
authors.forename: E
authors.initials: E
authors.lastname: Valverde-Romero
mesh_terms: D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D000914:Antibodies, Viral / Q000097:blood; D000998:Antiviral Agents / Q000627:therapeutic use; D003318:Corneal Opacity / Q000209:etiology; D003320:Corneal Ulcer / Q000209:etiology; D006099:Granuloma / Q000209:etiology; D006801:Humans; D007121:Immunocompetence; D007075:Immunoglobulin M / Q000097:blood; D016849:Keratitis, Herpetic / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D008297:Male; D015423:Scleritis / Q000209:etiology; D018139:Simplexvirus / Q000276:immunology / Q000502:physiology; D014605:Uveitis / Q000209:etiology*; D014775:Virus Activation
chemical_list: D000914:Antibodies, Viral; D000998:Antiviral Agents; D007075:Immunoglobulin M; D000212:Acyclovir
keywords: Herpes; Herpetic keratitis; Herpetic keratouveitis; Keratitis; Queratitis; Queratitis herpética; Queratouveitis herpética; Uveitis