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The Sclera pp 241-276 | Cite as

Infectious Scleritis

  • Maite Sainz de la Maza
  • Joseph Tauber
  • C. Stephen Foster
Chapter

Abstract

Although immune-mediated diseases are the main disorders associated with scleritis, other, less common etiologies, such as infections, must also be considered. Infectious agents, such as bacteria, fungi, viruses, and parasites, may cause scleritis through a direct invasion or through an immune response. Infectious scleritis should be suspected in cases of indolent progressive scleral necrosis with suppuration, especially if the past and present history reveals an accidental trauma, chronic topical medication use (including corticosteroids), surgical procedures, or debilitating ocular or systemic disease; they also should be suspected if the review of systems reveal multisystem findings compatible with a systemic infection. In exogenous and endogenous infections, scrapings for smears and cultures must be obtained and fortified antimicrobial therapy, depending on smear results, must be initiated as soon as possible.

Keywords

Herpes Zoster Lyme Disease Anterior Uveitis Herpes Simplex Virus Infection Congenital Syphilis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Maite Sainz de la Maza
    • 1
  • Joseph Tauber
    • 2
  • C. Stephen Foster
    • 3
  1. 1.Clinical Institute of OphthalmologyHospital Clinic of BarcelonaBarcelonaSpain
  2. 2.Tauber Eye CenterKansas CityUSA
  3. 3.Massachusetts Eye Research and Surgery InstitutionCambridgeUSA

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