**Core Concept**
Ulcus serpens, also known as serpentine ulcer, is a type of corneal ulcer characterized by a serpentine or branching pattern of infiltration. This condition is associated with bacterial infection, particularly by species of Pseudomonas and Fusarium.
**Why the Correct Answer is Right**
The correct answer is **Aeromonas hydrophila**. Aeromonas hydrophila is a gram-negative bacterium that can cause ulcus serpens in contact lens wearers, especially in the context of poor hygiene and inadequate lens care. This bacterium produces a variety of virulence factors, including hemolysins and proteases, which contribute to its ability to cause corneal ulcers.
**Why Each Wrong Option is Incorrect**
**Option B:** *Pseudomonas aeruginosa* is a common cause of corneal ulcers but is typically associated with a ring-shaped or "donut" pattern of infiltration, not a serpentine pattern.
**Option C:** *Fusarium* species are filamentous fungi that can cause fungal keratitis, but they are not typically associated with ulcus serpens.
**Option D:** *Staphylococcus aureus* is a common cause of bacterial keratitis, but it is not the primary cause of ulcus serpens.
**Clinical Pearl / High-Yield Fact**
In contact lens wearers, poor hygiene and inadequate lens care can increase the risk of developing ulcus serpens, particularly with *Aeromonas hydrophila*. It is essential to emphasize the importance of proper lens care and hygiene to patients who wear contact lenses.
**Correct Answer: A. Aeromonas hydrophila**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.