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May 1979

Corneal Ulceration Secondary to Intestinal Shigella sonnei

Author Affiliations

From the Department of Ophthalmology, Barksdale Air Force Base, Shreveport, La.

Arch Ophthalmol. 1979;97(5):888-889. doi:10.1001/archopht.1979.01020010446009

• A 34-month-old boy had a corneal ulcer due to Shigella sonnei. To my knowledge, this is the first documented case reported where the same organism was recovered from the stool. One other case of S sonnei and two cases of Sflexneri corneal ulcers have appeared in the literature. All cases have been in young black boys between the ages of 23 months and 6 years. The exact pathogenesis remains unclear, but direct fecalocular inoculation into a preexisting epithelial defect, a probable herpetic dendrite in this case, is most likely.

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