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January 1993

Pseudomonas aeruginosa iatrogenic Blepharoconjunctivitis

Author Affiliations

Bethesda, Md

Arch Ophthalmol. 1993;111(1):26-27. doi:10.1001/archopht.1993.01090010028018

Blepharoconjunctivitis is commonly observed in individuals who suffer from dry skin or seborrheic dermatitis. Secondary bacterial infection occurs often, usually due to skin-flora pathogens such as Staphylococcus aureus or Streptococcus species. Preventive therapy with diluted nonirritating shampoo is often prescribed to clean the skin scabs from the area of the eyelids.

A case of bacterial blepharoconjunctivitis due to Pseudomonas aeruginosa that developed following preventive therapy with iatrogenically contaminated shampoo is presented.

Report of a Case.  —A 48-year-old white man presented to the ophthalmology clinic with symptoms of acute bilateral conjunctivitis of 24 hours' duration. He had suffered from recurrent blepharitis for 2 years for which he was advised to use a dilution of Johnson and Johnson shampoo (1:10 dilution with tap water) every morning, by placing a cotton swab in the diluted shampoo and rubbing both eyelids several times. His medical history was noncontributory. He had prepared the shampoo bottle

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