Rare case of fungal keratitis caused by Plectosporium tabacinum

Rika Kamada,1 Yu Monden,1 Koji Uehara,1 Ryoji Yamakawa,1 Kazuko Nishimura21Department of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, 2Medical Mycology Research Center, Chiba University and First Laboratories Co, Ltd, Kawasaki, Kanagawa, JapanAbstract: A rare case of fungal...

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Autores principales:	Kamada R, Monden Y, Uehara K, Yamakawa R, Nishimura K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c0dbc215343b430fa8e9c8c51197e14f
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spelling	oai:doaj.org-article:c0dbc215343b430fa8e9c8c51197e14f2021-12-02T01:13:42ZRare case of fungal keratitis caused by Plectosporium tabacinum1177-54671177-5483https://doaj.org/article/c0dbc215343b430fa8e9c8c51197e14f2012-10-01T00:00:00Zhttp://www.dovepress.com/rare-case-of-fungal-keratitis-caused-by-plectosporium-tabacinum-a11185https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rika Kamada,1 Yu Monden,1 Koji Uehara,1 Ryoji Yamakawa,1 Kazuko Nishimura21Department of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, 2Medical Mycology Research Center, Chiba University and First Laboratories Co, Ltd, Kawasaki, Kanagawa, JapanAbstract: A rare case of fungal keratitis caused by Plectosporium tabacinum is reported. A 78-year-old female gardener presented with conjunctivitis and an oval infiltrate with irregular margins in the nasal half of the cornea in the right eye. Light microscopy of corneal scrapings revealed a filamentous fungus, and a diagnosis of fungal keratitis was made. The patient was admitted into our hospital on February 19, 2008. Treatment with topical miconazole, topical fluconazole, pimaricin ointment, intravenous miconazole, and corneal debridement was commenced. One week later, the infiltrate improved, but the central part of the infiltrate was still deep. Topical fluconazole was switched to topical voriconazole, and intravenous miconazole was switched to intravenous voriconazole. One month after admission, the causative organism was identified by morphology and molecular biological analysis as Plectosporium tabacinum. The corneal infiltrate resolved 3 months after admission. A stromal scar persisted for 3 months after the patient was discharged. This is the first detailed report of fungal keratitis caused by P. tabacinum. Voriconazole was effective in treating this refractory keratitis.Keywords: fungal keratitis, Plectosporium tabacinum, voriconazole, filamentous fungiKamada RMonden YUehara KYamakawa RNishimura KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1623-1627 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kamada R Monden Y Uehara K Yamakawa R Nishimura K Rare case of fungal keratitis caused by Plectosporium tabacinum
description	Rika Kamada,1 Yu Monden,1 Koji Uehara,1 Ryoji Yamakawa,1 Kazuko Nishimura21Department of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, 2Medical Mycology Research Center, Chiba University and First Laboratories Co, Ltd, Kawasaki, Kanagawa, JapanAbstract: A rare case of fungal keratitis caused by Plectosporium tabacinum is reported. A 78-year-old female gardener presented with conjunctivitis and an oval infiltrate with irregular margins in the nasal half of the cornea in the right eye. Light microscopy of corneal scrapings revealed a filamentous fungus, and a diagnosis of fungal keratitis was made. The patient was admitted into our hospital on February 19, 2008. Treatment with topical miconazole, topical fluconazole, pimaricin ointment, intravenous miconazole, and corneal debridement was commenced. One week later, the infiltrate improved, but the central part of the infiltrate was still deep. Topical fluconazole was switched to topical voriconazole, and intravenous miconazole was switched to intravenous voriconazole. One month after admission, the causative organism was identified by morphology and molecular biological analysis as Plectosporium tabacinum. The corneal infiltrate resolved 3 months after admission. A stromal scar persisted for 3 months after the patient was discharged. This is the first detailed report of fungal keratitis caused by P. tabacinum. Voriconazole was effective in treating this refractory keratitis.Keywords: fungal keratitis, Plectosporium tabacinum, voriconazole, filamentous fungi
format	article
author	Kamada R Monden Y Uehara K Yamakawa R Nishimura K
author_facet	Kamada R Monden Y Uehara K Yamakawa R Nishimura K
author_sort	Kamada R
title	Rare case of fungal keratitis caused by Plectosporium tabacinum
title_short	Rare case of fungal keratitis caused by Plectosporium tabacinum
title_full	Rare case of fungal keratitis caused by Plectosporium tabacinum
title_fullStr	Rare case of fungal keratitis caused by Plectosporium tabacinum
title_full_unstemmed	Rare case of fungal keratitis caused by Plectosporium tabacinum
title_sort	rare case of fungal keratitis caused by plectosporium tabacinum
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/c0dbc215343b430fa8e9c8c51197e14f
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Rare case of fungal keratitis caused by Plectosporium tabacinum

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