Streptococcal pharyngitis leading to corneal ulceration

Ocular Immunology and Inflammation
Tarra W MillenderNatalie A Afshari

Abstract

To report a patient with a history of exposure keratopathy who presented with bilateral bacterial keratitis associated with streptococcal pharyngitis and use of bilevel positive airway pressure (BiPAP). Case report. Pulsed-field gel electrophoresis of patient isolates from ocular and pharyngeal cultures. Ocular and oropharyngeal cultures from a 24-month-old child with a history of cerebral palsy on BiPAP at night revealed the same strain of Streptococcus pyogenes. Use of mechanical ventilation, such as BiPAP, may precipitate inoculation of eye with respiratory or oropharyngeal pathogens. To the authors' knowledge this is the first report demonstrating the association between concurrent streptococcal pharygitis, keratitis, and use of BiPAP.

References

Jan 1, 1987·Critical Care Medicine·D OmmeslagJ J De Laey
Mar 14, 1998·The British Journal of Ophthalmology·B ParkinS Cook
Oct 22, 2008·Critical Care Medicine·Jamie B Rosenberg, Lewis A Eisen

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Citations

Jul 16, 2013·Infection, Genetics and Evolution : Journal of Molecular Epidemiology and Evolutionary Genetics in Infectious Diseases·Kannan BalajiShunmugiah Karutha Pandian

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