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Bilateral herpes simplex keratitis: lactation a trigger for recurrence!

机译:双侧疱疹单纯性角膜炎:哺乳期动触发器的触发器!

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摘要

A young lactating woman presenting to us with simultaneous bilateral corneal lesions was clinically diagnosed to have herpes simplex keratitis, which was confirmed by herpes simplex virus (HSV) PCR. The patient was administered topical and systemic acyclovir therapy and therapeutic penetrating keratoplasty was done in right eye. She was advised to continue breast feeding under strict hygienic conditions. Diagnosis and management of HSV keratitis in a lactating patient can be particularly challenging for both clinician and patient and adoption of a multidisciplinary approach is necessary to ensure safety of mother and child. At 3 months follow-up, the baby was clinically healthy, there were no side effects of acyclovir therapy in the mother or the baby and the patient showed no evidence of recurrence in either eye.
机译:临床诊断为患有同时双侧角膜病变的年轻哺乳妇女患有同时双侧角膜病变,患有单纯疱疹角膜炎,其通过疱疹病毒(HSV)PCR确认。患者被局部和系统性的Acyclovir治疗和治疗性穿透角膜术治疗右眼。建议她在严格的卫生条件下继续母乳喂养。 HSV角膜炎在哺乳期患者中的诊断和治疗对于临床医生和患者来说,尤其具有挑战性,并且采用多学科方法是为了确保母亲和儿童的安全。在3个月后随访,婴儿在临床上健康,母亲或婴儿的Acyclovir治疗没有副作用,患者没有任何眼睛复发的证据。

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