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Clostridium perfringens Corneal Ulcer

Clostridium perfringens Corneal Ulcer Abstract • A corneal ulcer caused by Clostridium perfringens developed in a 76-yearold woman with Sjögren's syndrome. Experimental C perfringens keratitis was induced in rabbits by the intrastromal injection of 107 organisms. In both our patient and the experimental animals, a bullous lesion overlay the affected area of the cornea. This may be a specific lesion in clostridial infections of the cornea. Clostridium perfringens should be regarded as an opportunistic corneal pathogen, and anaerobic cultures should be performed in all cases of suspected bacterial corneal ulcer. References 1. Duke-Elder S: System of Ophthalmology . St Louis, CV Mosby Co, 1972, vol 14, pp 405-407. 2. Leavelle RB: Gas gangrene panophthalmitis: Review of the literature; report of new cases . Arch Ophthalmol 53:634-642, 1955.Crossref 3. Henkind P, Fedukowicz H: Clostridium welchii conjunctivitis . Arch Ophthalmol 70:791-795, 1963.Crossref 4. Tsutsui J: Tetanus infection of cornea: Its treatment with achromycin . Am J Ophthalmol 43:772-774, 1957. 5. Pringle JA: Three cases of gas infection of the cornea following gunshot wounds of the eye . Br J Ophthalmol 3:110-117, 1919.Crossref 6. Majekodunmi S, Odugbemi T: Clostridium welchii corneal ulcer: A case report . Can J Ophthalmol 10:290-291, 1975. 7. Smith LD: The Pathogenic Anaerobic Bacteria . Springfield, Ill, Charles C Thomas Publisher, 1975, pp 115-177. 8. Van Bijsterveld OP: Diagnostic tests in the sicca syndrome . Arch Ophthalmol 82:10-14, 1969.Crossref 9. Stern GA, Stock EL: Experimental Bacteroides fragilis keratitis . Arch Ophthalmol 96:2264-2266, 1978.Crossref 10. Jones DB, Robinson NM: Anaerobic ocular infections . Trans Am Acad Ophthalmol Otolaryngol 83:309-331, 1977. 11. Ostler HB, Okumoto M: Anaerobic streptococcal corneal ulcer . Am J Ophthalmol 81:518-519, 1976. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Clostridium perfringens Corneal Ulcer

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Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1979.01020010317006
Publisher site
See Article on Publisher Site

Abstract

Abstract • A corneal ulcer caused by Clostridium perfringens developed in a 76-yearold woman with Sjögren's syndrome. Experimental C perfringens keratitis was induced in rabbits by the intrastromal injection of 107 organisms. In both our patient and the experimental animals, a bullous lesion overlay the affected area of the cornea. This may be a specific lesion in clostridial infections of the cornea. Clostridium perfringens should be regarded as an opportunistic corneal pathogen, and anaerobic cultures should be performed in all cases of suspected bacterial corneal ulcer. References 1. Duke-Elder S: System of Ophthalmology . St Louis, CV Mosby Co, 1972, vol 14, pp 405-407. 2. Leavelle RB: Gas gangrene panophthalmitis: Review of the literature; report of new cases . Arch Ophthalmol 53:634-642, 1955.Crossref 3. Henkind P, Fedukowicz H: Clostridium welchii conjunctivitis . Arch Ophthalmol 70:791-795, 1963.Crossref 4. Tsutsui J: Tetanus infection of cornea: Its treatment with achromycin . Am J Ophthalmol 43:772-774, 1957. 5. Pringle JA: Three cases of gas infection of the cornea following gunshot wounds of the eye . Br J Ophthalmol 3:110-117, 1919.Crossref 6. Majekodunmi S, Odugbemi T: Clostridium welchii corneal ulcer: A case report . Can J Ophthalmol 10:290-291, 1975. 7. Smith LD: The Pathogenic Anaerobic Bacteria . Springfield, Ill, Charles C Thomas Publisher, 1975, pp 115-177. 8. Van Bijsterveld OP: Diagnostic tests in the sicca syndrome . Arch Ophthalmol 82:10-14, 1969.Crossref 9. Stern GA, Stock EL: Experimental Bacteroides fragilis keratitis . Arch Ophthalmol 96:2264-2266, 1978.Crossref 10. Jones DB, Robinson NM: Anaerobic ocular infections . Trans Am Acad Ophthalmol Otolaryngol 83:309-331, 1977. 11. Ostler HB, Okumoto M: Anaerobic streptococcal corneal ulcer . Am J Ophthalmol 81:518-519, 1976.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1979

References