Skip to main content
Top
Published in: Journal of Ophthalmic Inflammation and Infection 1/2016

Open Access 01-12-2016 | Letter to the Editor

Bacterial corneal ulcer associated with common variable immune deficiency

Authors: Edmund Tsui, Jie Deng, Andrew N Siedlecki, Michael E Zegans

Published in: Journal of Ophthalmic Inflammation and Infection | Issue 1/2016

Login to get access

Abstract

Common variable immune deficiency (CVID) is one of the most commonly diagnosed primary immunodeficiencies. Generally, patients have a history of recurrent sinopulmonary infections, hypogammaglobulinemia of two or more immunoglobulin isotypes, and impaired functional antibody responses. Reports of corneal involvement associated with CVID are limited. We describe a case of corneal ulceration associated with methicillin-resistant Staphylococcus aureus in a patient with CVID that developed while on monthly intravenous immunoglobulin infusions and in which there were no common risk factors for bacterial keratitis, such as prior history of ocular surface disease, trichiasis, trauma, or contact lens wear.
Literature
1.
go back to reference Park MA, Li JT, Hagan JB, Maddox DE, Abraham RS (2008) Common variable immunodeficiency: a new look at an old disease. Lancet 372(9637):489–502CrossRefPubMed Park MA, Li JT, Hagan JB, Maddox DE, Abraham RS (2008) Common variable immunodeficiency: a new look at an old disease. Lancet 372(9637):489–502CrossRefPubMed
2.
go back to reference Cunningham-Rundles C (2012) The many faces of common variable immunodeficiency. Hematology Am Soc Hematol Educ Program 2012:301–305PubMedPubMedCentral Cunningham-Rundles C (2012) The many faces of common variable immunodeficiency. Hematology Am Soc Hematol Educ Program 2012:301–305PubMedPubMedCentral
3.
go back to reference Akpek EK, Haddad RS, Winkelstein JA, Gottsch JD (2000) Bilateral consecutive central corneal perforations associated with hypogammaglobulinemia. Ophthalmology 107(1):123–126CrossRefPubMed Akpek EK, Haddad RS, Winkelstein JA, Gottsch JD (2000) Bilateral consecutive central corneal perforations associated with hypogammaglobulinemia. Ophthalmology 107(1):123–126CrossRefPubMed
4.
go back to reference Pasquet F, Kodjikian L, Mura F et al (2012) Uveitis and common variable immunodeficiency: data from the DEF-I study and literature review. Ocul Immunol Inflamm 20(3):163–170CrossRefPubMed Pasquet F, Kodjikian L, Mura F et al (2012) Uveitis and common variable immunodeficiency: data from the DEF-I study and literature review. Ocul Immunol Inflamm 20(3):163–170CrossRefPubMed
5.
go back to reference Ooi KG-J, Joshua F, Broadfoot A (2007) Recurrent multi-organism keratoconjunctivitis manifesting as a first presentation of common variable immune deficiency (CVID). Ocul Immunol Inflamm 15(5):403–405CrossRefPubMed Ooi KG-J, Joshua F, Broadfoot A (2007) Recurrent multi-organism keratoconjunctivitis manifesting as a first presentation of common variable immune deficiency (CVID). Ocul Immunol Inflamm 15(5):403–405CrossRefPubMed
6.
go back to reference Chao J, Yumei Z, Zhiqun W, Yang Z, Xuguang S (2013) Multidrug-resistant bacteria induce recurrent keratoconjunctivitis in a patient with common variable immunodeficiency: case report and literature review. Cornea 32(Suppl 1):S39–42CrossRefPubMed Chao J, Yumei Z, Zhiqun W, Yang Z, Xuguang S (2013) Multidrug-resistant bacteria induce recurrent keratoconjunctivitis in a patient with common variable immunodeficiency: case report and literature review. Cornea 32(Suppl 1):S39–42CrossRefPubMed
7.
go back to reference Han IC, Singerman LJ, Schmaier A, Bressler NM (2015) Bilateral, multiple, episodic retinal vein occlusions associated with common variable immunodeficiency. JAMA Ophthalmology 133(10):1216–8CrossRefPubMed Han IC, Singerman LJ, Schmaier A, Bressler NM (2015) Bilateral, multiple, episodic retinal vein occlusions associated with common variable immunodeficiency. JAMA Ophthalmology 133(10):1216–8CrossRefPubMed
8.
go back to reference Franklin RM, Winkelstein JA, Seto DS (1977) Conjuctivitis and keratoconjunctivitis associated with primary immunodeficiency diseases. Am J Ophthalmol 84(4):563–566CrossRefPubMed Franklin RM, Winkelstein JA, Seto DS (1977) Conjuctivitis and keratoconjunctivitis associated with primary immunodeficiency diseases. Am J Ophthalmol 84(4):563–566CrossRefPubMed
9.
go back to reference Coyle PK, Sibony PA (1986) Tear immunoglobulins measured by ELISA. Invest Ophthalmol Vis Sci 27(4):622–625PubMed Coyle PK, Sibony PA (1986) Tear immunoglobulins measured by ELISA. Invest Ophthalmol Vis Sci 27(4):622–625PubMed
10.
go back to reference Knop E, Knop N, Claus P (2008) Local production of secretory IgA in the eye-associated lymphoid tissue (EALT) of the normal human ocular surface. Invest Ophthalmol Vis Sci 49(6):2322–2329CrossRefPubMed Knop E, Knop N, Claus P (2008) Local production of secretory IgA in the eye-associated lymphoid tissue (EALT) of the normal human ocular surface. Invest Ophthalmol Vis Sci 49(6):2322–2329CrossRefPubMed
Metadata
Title
Bacterial corneal ulcer associated with common variable immune deficiency
Authors
Edmund Tsui
Jie Deng
Andrew N Siedlecki
Michael E Zegans
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Journal of Ophthalmic Inflammation and Infection / Issue 1/2016
Electronic ISSN: 1869-5760
DOI
https://doi.org/10.1186/s12348-016-0098-8

Other articles of this Issue 1/2016

Journal of Ophthalmic Inflammation and Infection 1/2016 Go to the issue