Acanthamoeba keratitis possibly acquired from a hot tub.

Abstract

An irritated left eye followed by a geographic epithelial corneal defect developed in a 42-year-old man. Disciform edema developed in the cornea, and the lesion progressed to a ring-shaped abscess. The lesion failed to respond to medical therapy. After two penetrating keratoplasties, histopathologic examination and electron microscopic studies established the diagnosis of Acanthamoeba keratitis. Subsequent cultures and immunofluorescent studies identified the organism as Acanthamoeba castellani. Following treatment with antibiotics and corneal cryotherapy, there has been no evidence of recurrence. Morphologically and immunologically identical amebae were also cultured from the patient's hot tub and surrounding garden.

• Authors: J R Samples, P S Binder, F J Luibel, R L Font, G S Visvesvara, C R Peter
• Journal: Archives of ophthalmology (Chicago, Ill. : 1960) (Arch Ophthalmol) Vol. 102 Issue 5 Pg. 707-10 (May 1984) ISSN: 0003-9950 [Print] United States
• PMID: 6372764 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Topics

• Adult
• Amebiasis (etiology, parasitology, pathology, surgery)
• Baths (adverse effects)
• Chronic Disease
• Cornea (parasitology, pathology)
• Corneal Transplantation
• Hot Temperature
• Humans
• Keratitis (etiology, parasitology, pathology, surgery)
• Male
• Water Microbiology