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Adenovirus Epithelial Keratitis Caused by Various Serotypes (Ad3, 4, and 7) |
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Case 6: Adenovirus or HSV Epithelial Keratitis? |
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Case Report |
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A 73-year-old man with irritation and redness in the right eye. The duration of symptoms was one week. |
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The right eye was injected, and the cornea showed branching figures reminiscent of HSV. The epithelium |
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healed within 10 days. Virus isolation test showed adenovirus; serotyping was not done. |
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The photographs of the right cornea were taken one week after symptom onset. |
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1 week |
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Fig. 3.11 (a–c) Adenovirus epithelial keratitis, 1 week after symptom onset. (a) The epithelium shows branching figures reminiscent of HSV dendritic keratitis. The resemblance is only superficial. The substructure shows features compatible with adenovirus infection: (b) rounded/abnormal cells (white arrowhead) and (c) many cyst-like structures (black arrowhead)
Fig. 3.12 (a–c) (Opposite page) Adenovirus epithelial keratitis. One week after symptom onset, the cornea shows many epithelial infiltrates (straight arrows) which (a) are light-reflecting, (b) have granular appearance, and (c) show a circumscript green fluorescein staining and adjacent surface elevations (dark; bowed arrow). In all photographs are visible rounded/abnormal cells (white arrowheads) and in (b) also cyst-like structures (black arrowhead). (The straight arrows are placed in corresponding locations)