Cytomegalovirus Keratitis in Acute Myeloblastic Leukemia Report of a Case

Objectives: Here, we report a rare case of acute myeloblastic leukemia (AML) developed a bilateral dendritic epithelial keratitis without retinitisCase presentation: A 58-year-old woman presented to the emergency department of Baqiyatallah Hospital in Tehran due to dyspnea and dry cough along with weakness, lethargy and weight loss resulting from acute myeloblastic leukemia. She was treated for systemic problem. In a while after developing pain, burning, redness of the eyes and ocular mucopurulent discharge, ocular symptoms began. The patient was initially treated with oral acyclovir with a possible diagnosis of Herpes simplex virus Keratitis. Polymerase Chain Reaction (PCR) was performed on ocular discharge specimens collected by soft-tipped applicators reported as CMV. Then, acyclovir was discontinued and bilateral CMV keratitis treated with IV Ganciclovir and her epithelial lesions gradually disappeared. Conclusions: CMV is capable of generating corneal epithelial engagement without corneal endothelium and retina involvement and demonstrated that CMV keratitis can be a rare cause but an emergent problem of acute myeloblastic leukemia (AML). Therefore, in any cases with bilateral corneal herpes keratitis, the patient should be evaluated for immune system deficiency.