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LETTER TO EDITOR
Year : 2007  |  Volume : 55  |  Issue : 4  |  Page : 320-321

Recurrence of herpes simplex keratitis after azithromycin


Department of Ophthalmology, Kasturba Medical College, Manipal, India

Correspondence Address:
Vijaya H Pai
Department of Ophthalmology, Kasturba Medical College, Manipal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.33059

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How to cite this article:
Pai VH. Recurrence of herpes simplex keratitis after azithromycin. Indian J Ophthalmol 2007;55:320-1

How to cite this URL:
Pai VH. Recurrence of herpes simplex keratitis after azithromycin. Indian J Ophthalmol [serial online] 2007 [cited 2020 Jun 1];55:320-1. Available from: http://www.ijo.in/text.asp?2007/55/4/320/33059

Dear Editor,

The article by Kumar, [1] titled "Recurrence of herpes simplex keratitis after azithromycin" was interesting. However, the following point needs further clarification. The article says the patient first presented in December 2002, with herpes simplex keratitis. His symptoms started three days after taking azithromycin, which was prescribed for upper respiratory tract infection. The patient came back with the recurrence of eye disease in March 2005. This time too he received azithromycin for three days. The question is could the coexisting infection for which azithromycin was prescribed be the cause of relapse of herpes s implex keratitis? It is well known that herpes simplex keratitis relapses after an attack of febrile illness, stress, trauma, sunlight, heat and menstruation. [2] So in this particular patient the relapse of herpetic keratitis cannot be totally attributed to azithromycin. To label azithromycin as the triggering factor, the patient should have received azithromycin challenge and observed for the relapse of herpes Simplex keratitis. Hope the author will clarify the point.

 
  References Top

1.
Kumar S. Recurrence of herpes simplex keratitis after azithromycin. Indian J Ophthalmol 2007;55:84-5.  Back to cited text no. 1
[PUBMED]  [FULLTEXT]  
2.
Grayson's diseases of the cornea, 3 rd ed. Araffa RC, editor. Published by Mosby Year Book: 1991. p. 240.  Back to cited text no. 2
    




 

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