Unilateral granulomatous conjunctivitis in a pregnant retroviral positive woman on HAART

  • Lau Yee Theng Dept of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Razlina Abdul Rahman Dept of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Iu Kwang Kwok Dept of Opthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Shaiful Bahari Ismail Dept of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
Keywords: sporotrichosis; eye redness; HIV; conjunctivitis; pregnant

Abstract

Ocular sporotrichosis is a relatively rare infection. We report a case of right ocular sporotrichosis in a 35 year-old pregnant woman at 30-week period of gestation with underlying retroviral disease on highly active antiretroviral therapy (HAART). She presented with one month history of unilateral eye redness and itchiness. Her symptoms persisted despite treatment for conjunctivitis. She was subsequently referred to ophthalmology clinic and a diagnosis of ocular sporotrichosis was made based on the culture of excised conjunctival tissues. Her symptoms improved after she was treated with fluconazole eye drops and intralesional amphotericin B. This case highlights the importance of early referral to ophthalmology in the case of unilateral eye redness in a high risk patient with history of exposure to infected cat prior to presentation.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.453-455

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Abstract
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PDF
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Published
2021-02-01
How to Cite
Theng, L., Rahman, R., Kwok, I., & Ismail, S. (2021). Unilateral granulomatous conjunctivitis in a pregnant retroviral positive woman on HAART. Bangladesh Journal of Medical Science, 20(2), 453-455. https://doi.org/10.3329/bjms.v20i2.51564
Section
Case Reports