Microsporidia are obligate intracellular protozoan parasites that are becoming increasingly recognized as opportunistic pathogens in patients with AIDS. They have been associated with enteritis, hepatitis, and peritonitis and recently keratoconjunctivitis. Gram stain demonstrates the presence of these organisms on light microscopic sections. The specific diagnostic features that distinguish microsporidia from other small nonspore-forming organisms are best demonstrated by electron microscopy, which is also used to characterize the members of Microsporea. In this study, salient histopathologic features of microsporidia in corneal epithelium obtained from an HIV-seropositive individual who developed AIDS are illustrated and discussed.
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http://dx.doi.org/10.4269/ajtmh.1991.44.463 | DOI Listing |
Int Ophthalmol
November 2024
Department of Ophthalmology, Phramongkutklao Hospital, 315 Ratchawithi Road, Thung Phayathai Subdistrict, Ratchathewi, Bangkok, 10400, Thailand.
Purpose: To assess the clinical characteristics, progression patterns, and treatment outcomes of microbiologically confirmed microsporidial keratoconjunctivitis (MKC).
Methods: This prospective cross-sectional study included patients with superficial punctate epithelial keratitis clinically suspected of MKC. Comprehensive slit-lamp examinations were conducted, and corneal scraping was performed for Gram-chromotrope staining and polymerase chain reaction (PCR) analysis.
Trop Parasitol
September 2024
Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Zhonghua Yan Ke Za Zhi
October 2024
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Ophthalmology, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China.
BMJ Open Ophthalmol
September 2024
Ophthalmology, Chulalongkorn University Faculty of Medicine, Bangkok, Thailand
Objective: Microsporidial stromal keratitis (MSK) is an uncommon disease. Only several case series have been reported. We aimed to describe the clinical manifestations, histopathology and treatment outcomes of MSK.
View Article and Find Full Text PDFOcul Immunol Inflamm
November 2024
Cornea and Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar, India.
Purpose: To elucidate a distinctive clinical feature in cases of microsporidial stromal keratitis (MSK).
Method: A retrospective observational study of cases with a histopathological and/or microbiological diagnosis of MSK on corneal biopsy or host corneal button between 2016 and 2022 was conducted.
Results: Eighteen cases with a confirmed histopathological and/or microbiological diagnosis of MSK were detected.
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