{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T10:12:30Z","timestamp":1780913550767,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":158,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100010093","name":"King Khaled Eye Specialist Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Polymicrobial keratitis is an uncommon but vision\u2010threatening condition, particularly when it involves protozoal and bacterial pathogens. Healthcare workers may be at increased risk due to occupational exposure to hospital\u2010associated microorganisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>\n                      We report a case of severe polymicrobial keratitis in a 40\u2010year\u2010old contact lens\u2010wearing nurse who developed acute keratitis following inadvertent ocular exposure to nasogastric secretions while caring for a critically ill child. Contact lens culture and in vivo confocal microscopy identified\n                      <jats:italic>Acanthamoeba<\/jats:italic>\n                      ,\n                      <jats:italic>Enterococcus faecalis<\/jats:italic>\n                      ,\n                      <jats:italic>Staphylococcus capitis<\/jats:italic>\n                      ,\n                      <jats:italic>and Pantoea<\/jats:italic>\n                      species. The patient developed progressive ring infiltrates, stromal haze, and endothelial dysfunction consistent with advanced infectious keratitis. Intensive antiamoebic and targeted antimicrobial therapy resulted in infection control but with significant corneal scarring requiring planned lamellar keratoplasty.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case represents a rare example of occupationally acquired polymicrobial keratitis involving Acanthamoeba and multiple healthcare\u2010associated bacteria. It highlights the potential for gastrointestinal and hospital flora to cause severe ocular infection in contact lens users and underscores the need for heightened infection\u2010control awareness among healthcare workers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crdi\/3791851","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T09:39:54Z","timestamp":1780911594000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupationally Acquired Polymicrobial Keratitis Caused by Acanthamoeba and Rare Enteric Bacteria Following Gastrointestinal Splash Exposure: A Case 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