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Acanthamoeba keratitis in Porto Alegre (southern Brazil): 28 cases and risk factors.
Dos Santos, Denise Leal; Kwitko, Sergio; Marinho, Diane Ruschel; de Araújo, Bruno Schneider; Locatelli, Claudete Inês; Rott, Marilise Brittes.
Afiliación
  • Dos Santos DL; Department of Microbiology, Immunology and Parasitology, Institute of Basic Health Sciences, Department of Parasitology, Universidade Federal do Rio Grande do Sul, Sarmento Leite Street, N 500, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil.
  • Kwitko S; Ophthalmology Department of the Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Ramiro Barcelos Street, N 2350, Porto Alegre, Rio Grande do Sul, 90035-903, Brazil.
  • Marinho DR; Ophthalmology Department of the Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Ramiro Barcelos Street, N 2350, Porto Alegre, Rio Grande do Sul, 90035-903, Brazil.
  • de Araújo BS; Ophthalmology Department of the Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Ramiro Barcelos Street, N 2350, Porto Alegre, Rio Grande do Sul, 90035-903, Brazil.
  • Locatelli CI; Ophthalmology Department of the Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Ramiro Barcelos Street, N 2350, Porto Alegre, Rio Grande do Sul, 90035-903, Brazil.
  • Rott MB; Department of Microbiology, Immunology and Parasitology, Institute of Basic Health Sciences, Department of Parasitology, Universidade Federal do Rio Grande do Sul, Sarmento Leite Street, N 500, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil. marilise.rott@ufrgs.br.
Parasitol Res ; 117(3): 747-750, 2018 Mar.
Article en En | MEDLINE | ID: mdl-29332157
The increasing use of contact lenses worldwide has led to an increase in cases of Acanthamoeba keratitis, which are often associated with inappropriate cleaning of contact lenses and lens cases. This study aimed to retrospectively review 28 cases of Acanthamoeba keratitis in Porto Alegre (southern Brazil) and identify the risk factors and clinical outcomes of affected patients. Most patients had higher education (66.6%), all were users of contact lenses, mostly women (67.9%). Most patients were soft contact lens wearers (66.7%) and 85.7% used multipurpose cleaning solutions. Sixteen patients (64.0%) used to wear contact lenses while swimming and/or bathing. Pain was the most common symptom (92.6%). For treatment, patients used polyhexamethylene biguanide drops (92.6%), propamidine isethionate drops (81.5%), chlorhexidine drops (55.6%), topical corticosteroids (63.0%), and systemic corticosteroids (37.0%). Herpes simplex keratitis was the most common misdiagnosis (72.7%). The majority of patients (76.0%) underwent a corneal transplant to control the disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Queratitis por Acanthamoeba Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: Parasitol Res Asunto de la revista: PARASITOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Queratitis por Acanthamoeba Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: Parasitol Res Asunto de la revista: PARASITOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania