PURPOSE: We report the first case of an ocular infection with the fungus Colletotrichum graminicola causing keratitis in a 27-year-old man. METHODS: Twenty-four months after a postoperative course complicated by recurrent fungal keratitis requiring two penetrating keratoplasties, two anterior chamber washouts, a conjunctival flap, and medical treatment with topical natamycin, intracameral amphotericin B, and oral fluconazole. RESULTS: The patient has shown no signs of fungal recurrence despite a failed corneal graft. CONCLUSIONS: C. graminicola is a new corneal pathogen and should be included in the differential diagnosis of mycotic keratitis.
PURPOSE: We report the first case of an ocular infection with the fungus Colletotrichum graminicola causing keratitis in a 27-year-old man. METHODS: Twenty-four months after a postoperative course complicated by recurrent fungal keratitis requiring two penetrating keratoplasties, two anterior chamber washouts, a conjunctival flap, and medical treatment with topical natamycin, intracameral amphotericin B, and oral fluconazole. RESULTS: The patient has shown no signs of fungal recurrence despite a failed corneal graft. CONCLUSIONS:C. graminicola is a new corneal pathogen and should be included in the differential diagnosis of mycotic keratitis.
Authors: Charles A Manire; Howard L Rhinehart; Deanna A Sutton; Elizabeth H Thompson; Michael G Rinaldi; John D Buck; Elliott Jacobson Journal: J Clin Microbiol Date: 2002-11 Impact factor: 5.948