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Pigmented Corneal Ulcer
PURPOSE: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis. CASE REPORT: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscopic examinat...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PUBLISHED BY KNOWLEDGE E
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825706/ https://www.ncbi.nlm.nih.gov/pubmed/31875106 http://dx.doi.org/10.18502/jovr.v14i4.5461 |
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author | Yangzes, Sonam Gupta, Parul Chawla Jha, Vivek Ram, Jagat |
author_facet | Yangzes, Sonam Gupta, Parul Chawla Jha, Vivek Ram, Jagat |
author_sort | Yangzes, Sonam |
collection | PubMed |
description | PURPOSE: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis. CASE REPORT: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscopic examination revealed the presence of a brownish-black pigmented plaque with surrounding infiltrates. Corneal scrapings revealed multiple septate hyphae. Culture revealed growth of the Bipolaris species. The patient was treated with topical natamycin 5%, topical voriconazole 1%, and oral itraconazole followed by intracameral amphotericin B (5 μg/mL). The patient responded well to the treatment. CONCLUSION: Brown pigmented infiltrates are an important clinical feature of dematiaceous fungi. B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. Our patient responded well to intracameral amphotericin B, which obviated the need for penetrating keratoplasty. |
format | Online Article Text |
id | pubmed-6825706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | PUBLISHED BY KNOWLEDGE E |
record_format | MEDLINE/PubMed |
spelling | pubmed-68257062019-12-24 Pigmented Corneal Ulcer Yangzes, Sonam Gupta, Parul Chawla Jha, Vivek Ram, Jagat J Ophthalmic Vis Res Case Report PURPOSE: To report the clinical characteristics, laboratory findings, and treatment of a rare case of keratitis caused by pigmented fungi Bipolaris hawaiiensis. CASE REPORT: A 55-year-old man presented with a history of trauma with vegetative matter in his left eye. Slit lamp biomicroscopic examination revealed the presence of a brownish-black pigmented plaque with surrounding infiltrates. Corneal scrapings revealed multiple septate hyphae. Culture revealed growth of the Bipolaris species. The patient was treated with topical natamycin 5%, topical voriconazole 1%, and oral itraconazole followed by intracameral amphotericin B (5 μg/mL). The patient responded well to the treatment. CONCLUSION: Brown pigmented infiltrates are an important clinical feature of dematiaceous fungi. B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. Our patient responded well to intracameral amphotericin B, which obviated the need for penetrating keratoplasty. PUBLISHED BY KNOWLEDGE E 2019-10-24 /pmc/articles/PMC6825706/ /pubmed/31875106 http://dx.doi.org/10.18502/jovr.v14i4.5461 Text en Copyright © 2019 Yangzes et al. https://creativecommons.org/licenses/by/4.0/ This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Yangzes, Sonam Gupta, Parul Chawla Jha, Vivek Ram, Jagat Pigmented Corneal Ulcer |
title | Pigmented Corneal Ulcer |
title_full | Pigmented Corneal Ulcer |
title_fullStr | Pigmented Corneal Ulcer |
title_full_unstemmed | Pigmented Corneal Ulcer |
title_short | Pigmented Corneal Ulcer |
title_sort | pigmented corneal ulcer |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825706/ https://www.ncbi.nlm.nih.gov/pubmed/31875106 http://dx.doi.org/10.18502/jovr.v14i4.5461 |
work_keys_str_mv | AT yangzessonam pigmentedcornealulcer AT guptaparulchawla pigmentedcornealulcer AT jhavivek pigmentedcornealulcer AT ramjagat pigmentedcornealulcer |