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Adenoviral keratoconjunctivitis, also known as epidemic keratoconjunctivitis, is a contagious eye infection, a type of adenovirus disease caused by adenoviruses. [1] It typically presents as a conjunctivitis with a sudden onset of a painful red eye, watery discharge and feeling that something is in the eye. [ 3 ]
Keratoconjunctivitis is a term used to describe inflammation of both the cornea (the clear, front part of the eye) and the conjunctiva (the thin, transparent membrane covering the white part of the eye and lining the inside of the eyelids). This condition can have various causes, and its presentation may vary depending on the underlying factors.
Adenovirus infection can also cause adenoviral keratoconjunctivitis. [5] Typically one eye is affected after an incubation period of up to a week. [ 5 ] The eye becomes itchy, painful, burning and reddish and lymphadenopathy may be felt by the ear nearest the affected eye. [ 5 ]
Nummular Keratitis, a feature of the chronic phase of adenoviral keratoconjunctivitis. Nummular keratitis is a feature of viral keratoconjunctivitis.It is a common feature of adenoviral keratoconjunctivitis (an ocular adenovirus infection), [1] as well as approximately 1/3rd of cases of Herpes Zoster Ophthalmicus infections.
An adenovirus was first isolated by Rowe et al. in 1953. Two years later, Jawetz et al. published on epidemic keratoconjunctivitis. [46]: 437 "Madras eye" is a colloquial term that has been used in India for the disease.
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Most people enter military service “with the fundamental sense that they are good people and that they are doing this for good purposes, on the side of freedom and country and God,” said Dr. Wayne Jonas, a military physician for 24 years and president and CEO of the Samueli Institute, a non-profit health research organization.
Due to fears of methadone’s misuse, however, regulations limited its distribution to specialized clinics, and it became a niche treatment. Methadone clinics have since become the targets of NIMBYs and politicians who view them as nothing more than nuisance properties.