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Acanthamoeba Keratitis: A Single-Institution Series of Four Cases With Literature Review
Journal article   Peer reviewed

Acanthamoeba Keratitis: A Single-Institution Series of Four Cases With Literature Review

Clarissa Smith, Nida Ashraf, Megan Haghnegahdar, Kenneth Goins and Jessica R Newman
Curēus (Palo Alto, CA), Vol.14(1), pp.e21112-e21112
01/11/2022
DOI: 10.7759/cureus.21112
PMCID: PMC8830394
PMID: 35165570

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Abstract

Acanthamoeba species are free-living protozoa found pervasively in water and soil, which can cause infections of the central nervous system, skin, and eye. Amoebic keratitis (AK) is a vision-threatening, often chronic infection that is associated with the use of soft contact lenses due to corneal microtrauma and improper cleaning and storage. Although AK infections are rare, they cause significant morbidity including vision loss due to the diagnostic and therapeutic challenges they pose. The clinical course is determined by the organism’s inherent pathogenicity, delay of diagnosis, and the paucity of data on effective therapeutic regimens. The case series and review of literature that follows examine current latest best practices in AK diagnosis including in vivo confocal microscopy (IVCM) and therapeutic interventions including miltefosine.
Infectious Disease Ophthalmology Therapeutics

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