TY - JOUR
T1 - Self-inflicted chronic bacterial keratoconjunctivitis using self semen
AU - Eom, Youngsub
AU - Kim, Young Ho
AU - Kim, Seung Hyun
AU - Kim, Hyo M.yung
AU - Song, Jong Suk
PY - 2013/12/1
Y1 - 2013/12/1
N2 - This case report describes a case of self-inflicted chronic bacterial keratoconjunctivitis involving the patient's own semen. A 20-year-old male soldier was referred to our clinic for the evaluation of refractory chronic bacterial conjunctivitis. Over the previous 4 months, he had been treated for copious mucous discharge, conjunctival injection, and superficial punctate keratitis in both eyes at an army hospital and a local eye clinic. Despite the use of topical and systemic antibiotics according to the results of conjunctival swab culture, there was no improvement. During the repeated smear and culture of conjunctival swabs, surprisingly, a few sperm were detected on Gram staining, revealing that the condition was self-inflicted bacterial keratoconjunctivitis involving the patient's own semen. Thus, in cases of chronic keratoconjunctivitis that do not respond to appropriate antibiotic treatment, self-inflicted disease or malingering should be considered.
AB - This case report describes a case of self-inflicted chronic bacterial keratoconjunctivitis involving the patient's own semen. A 20-year-old male soldier was referred to our clinic for the evaluation of refractory chronic bacterial conjunctivitis. Over the previous 4 months, he had been treated for copious mucous discharge, conjunctival injection, and superficial punctate keratitis in both eyes at an army hospital and a local eye clinic. Despite the use of topical and systemic antibiotics according to the results of conjunctival swab culture, there was no improvement. During the repeated smear and culture of conjunctival swabs, surprisingly, a few sperm were detected on Gram staining, revealing that the condition was self-inflicted bacterial keratoconjunctivitis involving the patient's own semen. Thus, in cases of chronic keratoconjunctivitis that do not respond to appropriate antibiotic treatment, self-inflicted disease or malingering should be considered.
KW - Keratoconjunctivitis
KW - Malingering
KW - Self-inflicted disease
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U2 - 10.3341/kjo.2013.27.6.459
DO - 10.3341/kjo.2013.27.6.459
M3 - Article
C2 - 24311933
AN - SCOPUS:84927173574
VL - 27
SP - 459
EP - 462
JO - Korean journal of ophthalmology : KJO
JF - Korean journal of ophthalmology : KJO
SN - 1011-8942
IS - 6
ER -