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{
    "pk": 1594,
    "title": "Complications of Bacterial Keratitis Impacted by Social Determinants of Health: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction: </b>The emergency department commonly evaluates eye pain and vision loss. Typically, these conditions can be managed outpatient; however, delays can lead to advanced pathology.<p></p><p><b>Case Report: </b>A 48-year-old homeless male presented with left-eye vision loss and pain. His exam revealed monocular decreased visual acuity, corneal ulcer, and hypopyon. The patient was diagnosed with bacterial keratitis and admitted for treatment but left against medical advice. He returned and was admitted for further treatment but was lost to follow-up thereafter.</p><p></p><p><b>Conclusion:</b> Our case features complicated bacterial keratitis with several treatment interruptions, demonstrating how healthcare disparities contribute to potentially preventable advanced pathology.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "keratitis"
        },
        {
            "word": "vision loss"
        },
        {
            "word": "hypopyon"
        },
        {
            "word": "corneal ulcer"
        },
        {
            "word": "Pain"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1th9n8v1",
    "frozenauthors": [
        {
            "first_name": "Taylor",
            "middle_name": "",
            "last_name": "Diederich",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of Kansas Medical Center, University of Kansas Health System, Kansas City, Kansas",
            "department": ""
        },
        {
            "first_name": "Hope",
            "middle_name": "",
            "last_name": "Ring",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of Kansas Medical Center, University of Kansas Health System, Kansas City, Kansas",
            "department": ""
        },
        {
            "first_name": "Mary",
            "middle_name": "",
            "last_name": "Velagapudi",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of Kansas Medical Center, University of Kansas Health System, Kansas City, Kansas",
            "department": ""
        }
    ],
    "date_submitted": "2023-08-07T17:25:40.417000Z",
    "date_accepted": "2023-11-09T23:49:36.333000Z",
    "date_published": "2024-01-25T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1594/galley/4327/download/"
    },
    "galleys": [
        {
            "label": "Layout",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1594/galley/3860/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1594/galley/4327/download/"
        }
    ]
}