Self-inflicted Chronic Bacterial Keratoconjunctivitis Using Self Semen.
10.3341/kjo.2013.27.6.459
- Author:
Youngsub EOM
1
;
Young Ho KIM
;
Seung Hyun KIM
;
Hyo Myung KIM
;
Jong Suk SONG
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. crisim@korea.ac.kr
- Publication Type:Case Reports
- Keywords:
Keratoconjunctivitis;
Malingering;
Self-inflicted disease
- MeSH:
Chronic Disease;
Conjunctiva/*injuries/microbiology/pathology;
Cornea/microbiology/*pathology;
Diagnosis, Differential;
Eye Infections, Bacterial/diagnosis/*etiology/microbiology;
Eye Injuries/*complications/diagnosis;
Humans;
Keratoconjunctivitis/diagnosis/*etiology/microbiology;
Male;
Self Mutilation/*complications/diagnosis;
*Semen;
Young Adult
- From:Korean Journal of Ophthalmology
2013;27(6):459-462
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
