P Antequera1, V Garcia-Conca2, C Martín-González1, V Ortiz-de-la-Tabla3. 1. Servicio de Microbiología, Hospital Universitario San Juan, Alicante, España. 2. Servicio de Oftalmología, Hospital Universitario San Juan, Alicante, España. 3. Servicio de Microbiología, Hospital Universitario San Juan, Alicante, España. Electronic address: ortiz_vic@gva.es.
Abstract
CASE REPORT: We report a case of keratitis in a female contact lens wearer, who developed a deep corneal abscess. The culture of a corneal biopsy scraping was positive for multiresistant Fusarium solani. The patient has a complicated clinical course and failed to respond to local and systemic antifungal treatment, requiring eye enucleation. CONCLUSION: Fusarium keratitis may progress to severe endophthalmitis. Clinical suspicion is paramount in order to start antifungal therapy without delay. Therapy is complex due to the high resistance of this organism to usual antifungal drugs.
CASE REPORT: We report a case of keratitis in a female contact lens wearer, who developed a deep corneal abscess. The culture of a corneal biopsy scraping was positive for multiresistant Fusarium solani. The patient has a complicated clinical course and failed to respond to local and systemic antifungal treatment, requiring eye enucleation. CONCLUSION:Fusariumkeratitis may progress to severe endophthalmitis. Clinical suspicion is paramount in order to start antifungal therapy without delay. Therapy is complex due to the high resistance of this organism to usual antifungal drugs.
Authors: Grit Walther; Serena Stasch; Kerstin Kaerger; Axel Hamprecht; Mathias Roth; Oliver A Cornely; Gerd Geerling; Colin R Mackenzie; Oliver Kurzai; Marie von Lilienfeld-Toal Journal: J Clin Microbiol Date: 2017-07-26 Impact factor: 5.948