Scytalidium keratitis: case report in a human eye.
| Autor: | Farjo QA; Vision Associates, Toledo, OH 43615, USA. qaisf@umich.edu, Farjo RS, Farjo AA |
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| Jazyk: | angličtina |
| Zdroj: | Cornea [Cornea] 2006 Dec; Vol. 25 (10), pp. 1231-3. |
| DOI: | 10.1097/01.ico.0000230323.28956.b9 |
| Abstrakt: | Purpose: To describe the presentation and treatment of a case of an atypical reticular corneal infiltrate with surrounding immune-like ring in a young woman caused by Scytalidium fungal species. Methods: Interventional case report describing the clinical appearance, course, and treatment of Scytalidium keratitis. Results: A 21-year-old female equestrian with a history of soft contact lens wear was noted to have persistent keratitis and photophobia of the right eye after an injury with a volleyball. Although initially culture negative and responsive to topical steroids, the keratitis persisted, and repeat corneal scrapings and cultures revealed Scytalidium species. Treatment with topical amphotericin B 0.15% and oral fluconazole 200 mg twice daily eradicated the infection, and the patient had a final best-corrected visual acuity of 20/20. Conclusion: Scytalidium species fungal organisms can cause an indolent keratitis. Intensive oral and topical antifungal therapy was successful in eradicating the infection. |
| Databáze: | MEDLINE |
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