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Non-viral microbial keratitis in adults: clinical and laboratory aspects
Cury, Eunice Stella Jardim; Chang, Marilene Rodrigues; Pontes, Elenir Rose Jardim Cury.
  • Cury, Eunice Stella Jardim; Universidade Federal do Mato Grosso do Sul - UFMS. Campo Grande. BR
  • Chang, Marilene Rodrigues; Universidade Federal do Mato Grosso do Sul - UFMS. Campo Grande. BR
  • Pontes, Elenir Rose Jardim Cury; Universidade Federal do Mato Grosso do Sul - UFMS. Campo Grande. BR
Braz. j. microbiol ; 49(supl.1): 205-212, 2018. tab, graf
Article in English | LILACS | ID: biblio-974346
Responsible library: BR1.1
ABSTRACT
Abstract This study compares patients with and without non-viral microbial keratitis in relation to sociodemographic variables, clinical aspects, and involved causative agent. Clinical aspects, etiology and therapeutic procedures were assessed in patients with and without keratitis that were diagnosed in an Eye Care Center in Campo Grande, MS, Brazil. Patients were divided into two groups (a) cases 64 patients with non-viral microbial keratitis diagnosed at biomicroscopy; and (b) controls 47 patients with other eye disorders that were not keratitis. Labor activity related to agriculture, cattle raising, and contact lens use were all linked to keratitis occurrence (p < 0.005). In patients with keratitis, the most common symptoms were pain and photophobia, and the most frequently used medicines were fourth-generation fluoroquinolones (34.4%), amphotericin B (31.3%), and natamycin (28.1%). Microbial keratitis evolved to corneal perforation in 15.6% of cases; transplant was indicated in 10.9% of cases. Regarding the etiology of this condition, 23 (42.2%) keratitis cases were caused by bacteria (Pseudomonas aeruginosa, 12.5%), 17 (39.1%) by fungi (Fusarium spp., 14.1% and Aspergillus spp., 4.7%), and 4 (6.3%) by Acanthamoeba. Patients with keratitis present with a poorer prognosis. Rapid identification of the etiologic agent is indispensable and depends on appropriate ophthalmological collection and microbiological techniques.
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Full text: Available Index: LILACS (Americas) Main subject: Bacteria / Bacterial Infections / Fungi / Keratitis / Mycoses Limits: Adolescent / Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. microbiol Journal subject: Microbiology Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal do Mato Grosso do Sul - UFMS/BR

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Full text: Available Index: LILACS (Americas) Main subject: Bacteria / Bacterial Infections / Fungi / Keratitis / Mycoses Limits: Adolescent / Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. microbiol Journal subject: Microbiology Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal do Mato Grosso do Sul - UFMS/BR