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3 Adenovirus Epithelial Keratitis Caused by Various Serotypes (Ad3, 4, and 7) |
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Case 4: Red Eye: A Diagnostic Clue |
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Case Report |
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A 36-year-old man was admitted to the Infection Clinic because of general symptoms. In combination |
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with red eyes, adenovirus was suspected and later identified as type 3. Eight days after onset, both eyes |
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were injected and the corneae showed many epithelial infiltrates that were still present two weeks later. |
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The patient’s preschool children had had a “cold.” |
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The photographs of the left cornea were taken 22 days after the onset of symptoms. |
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a |
22 days |
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b
Fig. 3.9 (a, b) Twenty-two days after symptom onset (Ad3): (a) lesions (white arrows) lacking defined edges show lightreflecting spots (black arrows) and dots (arrowheads). In (b) it is visible that the light-reflecting appearance is partly caused by clumps of material (black arrows), probably cell debris; discernible rounded/abnormal cells are indicated by arrowheads. (The markers are placed in corresponding locations.) Cf. Fig. 3.10 (opposite page)