Identification of New Pathogens in the Intraocular Fluid of Patients With Uveitis

J. D. de Groot-Mijnes,L. de Visser,S. Zuurveen,R. A. Martinus,R. Völker,N. H. ten Dam-van Loon,J. D. de Boer,G. Postma,Raoul J de Groot,A. V. van Loon,A. Rothova

Published 2010 in American journal of ophthalmology-glaucoma

ABSTRACT

Purpose To determine infectious causes in patients with uveitis of unknown origin by intraocular fluids analysis. Design Case-control study. Methods Ocular fluids from 139 patients suspected of infectious uveitis, but negative for herpes simplex virus, varicella-zoster virus, cytomegalovirus, and Toxoplasma gondii by polymerase chain reaction and/or antibody analysis in intraocular fluids, were assessed for the presence of 18 viruses and 3 bacteria by real-time polymerase chain reaction (PCR). The ocular fluids from 48 patients with uveitis of known etiology or with cataract were included as controls. Results Positive PCR results were found for Epstein-Barr virus, for rubella virus, and for human herpesvirus 6 each in 1 patient and for human parechovirus in 4 patients. Of the human parechovirus–positive patients, 1 was immunocompromised and had panuveitis. The other 3 patients were immunocompetent and had anterior uveitis, all with corneal involvement. Conclusions Human parechovirus might be associated with infectious (kerato)uveitis.

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