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Case 7: A Woman Infected by a Caring Relative 29

Case 7: A Woman Infected by a Caring Relative

Case Report

To this 77-year-old woman, the virus was transmitted by a relative (herself mother of a patient with nosocomial infection) who was nursing her. She suffered a severe bilateral keratoconjunctivitis starting in the left eye and subsequently developed many subepithelial opacities/infiltrates interfering with vision in both eyes.

The photographs of the left cornea were taken 4 weeks and 17 months after the onset of symptoms.

a

4 weeks

 

b

c

17 months

Fig. 2.18  (a) Four weeks after symptom onset, the cornea shows rounded/abnormal cells, individual (arrowheads) or grouped (arrows). (bc) Subepithelial opacities/infiltrates containing rounded/abnormal cells (arrowheads) 17 months after onset. In (c) are visible surface elevations (dark, arrow) present in the same area as in (b); the surface appears intact. (The arrowheads are placed in corresponding locations)