Sergio Jaramillo1, Clara L Varon. 1. Retina and Vitreous Department, Fundacion Oftalmologica de Santander Clinica Carlos Ardila Lulle, Bucaramanga, Colombia.
Abstract
PURPOSE: To report a case of Curvularia lunata endophthalmitis that responded to amphotericin B and itraconazole METHODS: Observational case report of one patient with C. lunata endophthalmitis after penetrating ocular injury with vegetable material. RESULTS: One young adult male patient presented with visual loss after penetrating ocular trauma with vegetable material. Biomicroscopy revealed keratitis and secondary endophthalmitis. Vitreous cultures after vitrectomy were positive for C. lunata and Staphylococcus epidermidis. Patient responded well to intravitreal amphotericin B and moxifloxacin. CONCLUSION: Fungal endophthalmitis should be suspected after trauma with vegetable material. Curvularia lunata may produce endophthalmitis and keratitis. Amphotericin B and itraconazole should be considered suitable agents for its treatment.
PURPOSE: To report a case of Curvularia lunata endophthalmitis that responded to amphotericin B and itraconazole METHODS: Observational case report of one patient with C. lunata endophthalmitis after penetrating ocular injury with vegetable material. RESULTS: One young adult male patient presented with visual loss after penetrating ocular trauma with vegetable material. Biomicroscopy revealed keratitis and secondary endophthalmitis. Vitreous cultures after vitrectomy were positive for C. lunata and Staphylococcus epidermidis. Patient responded well to intravitreal amphotericin B and moxifloxacin. CONCLUSION:Fungal endophthalmitis should be suspected after trauma with vegetable material. Curvularia lunata may produce endophthalmitis and keratitis. Amphotericin B and itraconazole should be considered suitable agents for its treatment.