Game 7
Solve
in
1
A patient walks in wearing glasses. With red eye.
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This is weird, even for your patient, since they usually wear contact lenses. Why switch?
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As they approach closer, you realise that the paracentral cornea is marked by a circular white infiltrate.
Alright. It seems like something is wrong with your patient.
Solve
in
2
"I threw out my contact lens case and contact lenses. I find that most of the time they irritate my eyes, especially after I go swimming."
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How about when it started?
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"I guess it was when I went Singapore? I couldn't tell if it was the heat that made it worse, or the humidity, but my eyes weren't having it. No matter how much I washed my contacts under the water, it didn't get better."
Solve
in
3
You take a corneal scrape, since you have a general idea of what it may be. Thought it still is a bit hard to discern. Under a confocal microscope, you see the cells and yet every now and then there is a white spec.
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There is no hyphae.
last chance
You place scrape into non-nutritional saline agar. After heating it, you stain it using the classic crystal violet, iodine, alcohol wash and safranin. The results are inconclusive.
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You observe it again. Now the white specs are still present.
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Let's give them the diagnosis
Our
Story
Acanthamoeba Keratitis
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- Grows stronger in humid, watery environments
- Grows well in tropical environments
- More associated with contact lenses
- Contact lenses were poorly maintained as well
- Has Wessley Immune Ring to prevent further infections.
- Should always be diagnosed early, and avoid water contact with CL and case