Cases reported "Eye Infections, Bacterial"

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1/2. Anterior ischemic optic neuropathy associated with rickettsia conorii infection.

    A 43-year-old man with fever, headache, and skin rash developed unilateral acute anterior ischemic optic neuropathy. The indirect immunofluorescence test was positive for rickettsia conorii. Although retinal lesions have been described in rickettsia conorii infection, this is the first reported case of ischemic optic neuropathy. This infection should be considered in a patient with nonarteritic anterior ischemic optic neuropathy with high fever or skin rash who inhabits or travels from an endemic area.
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2/2. Rickettsial keratitis in a case of Mediterranean spotted fever.

    The first documented case of infectious keratitis (an ameboid-like corneal ulcer) caused by rickettsia conorii is described. Corneal infection was probably caused by contamination through the tears during systemic rickettsial dissemination. Topical tetracyclin ointment was effective. Rickettsial keratitis should be considered in the differential diagnosis of ameboid-like corneal ulcers in areas where Mediterranean spotted fever is endemic.
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