Acanthamoeba keratitis: first recorded case from a Palestinian patient with trachoma.

Keratitis due to Acanthamoeba is a potentially sight threatening condition if unrecognised, or if inappropriate medical therapy is used.' The infection is being recognised worldwide.'A It is often associated in Europe and in the USA with contact lens wear; elsewhere, particularly in the tropics, it occurs most often in rural communities and can be associated with trauma and mud splashing.5 We present here the first recorded isolation of Acanthamoeba in a Palestinian patient with keratitis, not associated with either contact lens wear or the patient's recollection of trauma. The patient suffered from previous trachoma (Fig 1). Herbert's pits were clearly observable at the superior limbus, although there was no evidence of trichiasis.