An unusual case of bilateral conjunctival ulcer post dengue fever: A case report
Year: 2024
Type: article
Study design: Case Report
Abstract: A 25-year-old male patient presented with redness and pain in both eyes since 2 days with history of fever in the past 1 week and tested positive for dengue. On examination, the patient had bilateral nasal congestion and a whitish-yellow lesion in the right eye canthal region measuring 4 mm × 4 mm and 2 mm × 1 mm in the left eye; the lesion was fluorescein stain-positive. A provisional diagnosis of bilateral conjunctival ulcer was made and sent for culture and sensitivity. Culture revealed mixed bacterial and fungal growth of Pseudomonas aeruginosa and Aspergillus niger . The patient was started on fortified vancomycin 50 mg/mL (5%) and ceftazidime 50 mg/dL (5%) along with natamycin 5% eyedrops and oral ketoconazole 200 mg. The patient reviewed after 5 days showed fluorescein stain-negativity in both eyes and was completely asymptomatic on further follow-up. Opportunistic infections are common in dengue fever and should be treated aggressively to prevent further ocular complications.
Institution: Sankara Eye Hospital, Kanpur
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4396520239