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A case of fulminant corneal endotheliitis without parotitis suspected of mumps virus infection Asako Kawaguchi 1 , Fumie Takenobu 1 , Hitomi Uotani 1 , Keiko Yakura 1 , Dai Miyazaki 1 , Yoshitsugu Inoue 1 , Tetsuo Nakayama 2 , Tetsushi Yoshikawa 3 , Shirou Hatta 4 1Div of Ophthalmol and Vis Sci, Fac of Med Tottori Univ 2Lab of Viral Infect, Kitasato Inst for Life Sci 3Dept of Pediatr, Fujita Health Univ Sch of Med 4Maejima Eye Clin pp.1143-1147
Published Date 2013/7/15
DOI https://doi.org/10.11477/mf.1410104822
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Abstract. Purpose:To report a case of fulminant corneal endotheliitis who showed no parotitis and who was suspected of mumps virus infection. Case:A 63-year-old male presented with impaired vision in the left eye. He had had acute fever 8 days before and noticed impaired vision in the left eye the next day. Findings:Corrected visual acuity was 1.5 right and counting fingers left. The left eye showed ciliary injection, diffuse edema of corneal epithelium and stroma, and folds of Descemet membrane. The serum was tested for mumps virus antibody and showed elevated IgM titer. Topical treatment with betamethasone was followed by clearing of the cornea without scarring. Visual acuity improved to 1.2 three months later. Density of corneal endothelial cells decreased to 426/mm2. Conclusion:This case illustrates that mumps virus may be involved in diffuse corneal endotheliitis of unknown origin.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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