Infectious crystalline keratopathy and endophthalmitis secondary to Mycobacterium abscessus in a monocular patient with Stevens-Johnson syndrome

Harvey S. Uy, Quan D. Nguyen, Marlene L. Durand, Barbara Paton, C. Stephen Foster

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15 Scopus citations

Abstract

PURPOSE: To describe the clinical and laboratory features of infectious crystalline keratopathy and endophthalmitis secondary to Mycobacterium abscessus in a patient with Stevens-Johnson syndrome. METHOD: Case report. A 19-year-old man with a history of Stevens-Johnson syndrome and multiple corneal transplants developed white crystalline corneal infiltrates. RESULTS: Anterior chamber aspirate disclosed acid-fast bacilli. A repeat corneal transplant was performed and antibiotic therapy begun. Histopathology showed focal acute inflammation surrounding collections of acid-fast bacilli, which were speciated as M. abscessus. CONCLUSIONS: M. abscessus is a cause of infectious crystalline keratopathy and endophthalmitis. Risk factors include ocular surface disease, corneal transplantation, and immunosuppressive therapy.

Original languageEnglish (US)
Pages (from-to)209-210
Number of pages2
JournalAmerican journal of ophthalmology
Volume127
Issue number2
DOIs
Publication statusPublished - Feb 1999

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ASJC Scopus subject areas

  • Ophthalmology

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