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Year : 2019  |  Volume : 7  |  Issue : 1  |  Page : 24-26

Keratoactinomycosis: A rare case report

Department of Ophthalmology, M and J Western Regional Institute of Ophthalmology, Ahmedabad, Gujarat, India

Correspondence Address:
Pradnya Krishnakant Bhole
Department of Ophthalmology, M and J Western Regional Institute of Ophthalmology, B J Medical College Campus, C/34, Sanjay Tower, Shyamal Cross Roads, Ahmedabad - 380 015, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_3_18

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A 50-year-old female farmer, with a history of vegetative trauma, presented to a tertiary eye care center, with right eye ulcerative keratitis, initially treated elsewhere as fungal keratitis, refractory to conventional antifungal therapy. A corneal scraping was done and it revealed Gram-positive filamentous Actinomyces bacteria. Treatment with topical penicillin (100,000 U/ml) showed a complete resolution of the corneal infection, within 2 weeks of therapy. Actinomyces keratitis is a rare clinical condition. A history of ocular vegetative trauma, with a clinical picture similar to fungal keratitis, leads to delay in the diagnosis of such rare presentations of posttraumatic keratoactinomycosis, which otherwise shows a good response to topical penicillin therapy. A corneal scraping done helps in timely diagnosis and effective treatment.

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