Self-inflicted chronic bacterial keratoconjunctivitis using self semen

Youngsub Eom, Young Ho Kim, Seung Hyun Kim, Hyo M.yung Kim, Jong Suk Song

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


This case report describes a case of self-inflicted chronic bacterial keratoconjunctivitis involving the patient's own semen. A 20-year-old male soldier was referred to our clinic for the evaluation of refractory chronic bacterial conjunctivitis. Over the previous 4 months, he had been treated for copious mucous discharge, conjunctival injection, and superficial punctate keratitis in both eyes at an army hospital and a local eye clinic. Despite the use of topical and systemic antibiotics according to the results of conjunctival swab culture, there was no improvement. During the repeated smear and culture of conjunctival swabs, surprisingly, a few sperm were detected on Gram staining, revealing that the condition was self-inflicted bacterial keratoconjunctivitis involving the patient's own semen. Thus, in cases of chronic keratoconjunctivitis that do not respond to appropriate antibiotic treatment, self-inflicted disease or malingering should be considered.

Original languageEnglish
Pages (from-to)459-462
Number of pages4
JournalKorean journal of ophthalmology : KJO
Issue number6
Publication statusPublished - 2013 Dec 1
Externally publishedYes


  • Keratoconjunctivitis
  • Malingering
  • Self-inflicted disease

ASJC Scopus subject areas

  • Medicine(all)


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