A case of mycotic keratitis due to Fusarium sp. with an undesirable outcome

  • Marija Trenkić Department of Ophthalmology, Faculty of Medicine, University of Niš, Serbia
  • Gordana Stanković Babić Department of Ophthalmology, Faculty of Medicine, University of Niš, Serbia
  • Marina Randelović Department of Microbiology and Immunology, Faculty of Medicine, University of Niš, Serbia
  • Miljan Krstić Department of Pathology, Faculty of Medicine, University of Niš, Serbia
  • Marija Radenković Ophthalmology Clinic, University Clinical Center of Niš, Serbia
  • Suzana Tasić-Otašević Department of Microbiology and Immunology, Faculty of Medicine, University of Niš, Serbia
Keywords: Fusarium spp., keratitis, treatment, antifungal, evisceration

Abstract

Fungal keratitis, an infective disease of the cornea, represents a serious diagnostic and therapeutic problem that, if not recognized on time, could lead to irreversible eye damage. Herein we report a case of fungal keratitis due to Fusarium spp. infection. The 60-year-old man was admitted to our clinic due to an atraumatic acute onset of the disease, with a decrease in the visual acuity, photophobia, redness, and severe pain in the right eye. Clinical observation revealed an ulcer that affected 1/3 of the cornea and a hypopion in the anterior chamber. After the first results of microbiological analyzes, local and systemic antifungal therapy was applied. Due to the fact that the patient voluntarily left the treatment, there was a drastic worsening of the local findings as a full thickness total corneal infiltrate with more intense anterior chamber reaction. Finally, evisceration was performed. Given the fact that fungal keratitis is more prevalent in developing countries, official protocols and available effective antifungals are crucial for adequate treatment and a favorable outcome of this infection.

Published
2022-04-30
How to Cite
1.
Trenkić M, Babić GS, Randelović M, Krstić M, Radenković M, Tasić-OtaševićS (2022) A case of mycotic keratitis due to Fusarium sp. with an undesirable outcome. J Infect Dev Ctries 16:729-732. doi: 10.3855/jidc.15824
Section
Case Reports