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Year : 2018  |  Volume : 6  |  Issue : 3  |  Page : 113-116

Infective scleral abscess by Proteus mirabilis in an immunocompetent patient

1 Department of Cornea and External Diseases, Disha Eye Hospitals, Barrackpore, West Bengal, India
2 Department of Orbit and Oculoplasty, Disha Eye Hospitals, Barrackpore, West Bengal, India

Correspondence Address:
Nibedita Das
Department of Cornea and External Diseases, Disha Eye Hospitals, 88 (63A), Ghoshpara Road, Barrackpore - 700 120, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_88_17

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A 48-year-old Indian gentleman presented with severe pain, redness, swelling, and dimness of vision in his right eye. On slit-lamp examination, a temporal scleral nodule with overlying conjunctival defect was found. Microbiological investigations of the nodule revealed Proteus sp. Systemic and topical antimicrobial therapy successfully healed the lesion after 2nd week of treatment with complete resolution in the 5th weeks. Isolated infectious scleritis is very unusual pathology found in medical literature, and among the organism reported till date, Proteus sp. is the rarest to found. To the best of our knowledge, this may be the first reported case of spontaneous scleral abscess due to Proteus sp.

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