Paecilomyces keratitis: a case report
Ocular trauma involving vegetative matter is the most common cause of keratitis in ophthalmic practice in India, with many cases resulting in fungal keratitis or corneal ulceration. Here, we present a case of fungal keratitis due to Paecilomyces lilacinus that was successfully managed with oral and...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | MGM Journal of Medical Sciences |
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| Online Access: | https://doi.org/10.4103/mgmj.mgmj_315_24 |
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| author | Debapriya Das Choudhury Milind Ubale Rimjhim Baranwal Vaibhavi Nanoty Mayuri Patel |
| author_facet | Debapriya Das Choudhury Milind Ubale Rimjhim Baranwal Vaibhavi Nanoty Mayuri Patel |
| author_sort | Debapriya Das Choudhury |
| collection | DOAJ |
| description | Ocular trauma involving vegetative matter is the most common cause of keratitis in ophthalmic practice in India, with many cases resulting in fungal keratitis or corneal ulceration. Here, we present a case of fungal keratitis due to Paecilomyces lilacinus that was successfully managed with oral and topical antifungal therapy, avoiding surgical intervention. The patient, a female, presented with a corneal abscess, conjunctival congestion, and persistent pain in her right eye after sustaining an ocular injury from vegetative matter. Based on the clinical signs, a provisional diagnosis of fungal keratitis was made, and treatment with 5% natamycin eye drops was initiated. Potassium hydroxide mount findings indicated fungal hyphae, leading to the addition of oral voriconazole due to suspected deuteromycosis. Fungal culture confirmed the presence of P. lilacinus. Gradually, the patient improved with antifungal therapy over a month without surgical intervention. |
| format | Article |
| id | doaj-art-3e207fc791a24b7088b8bbeb1776cb87 |
| institution | Kabale University |
| issn | 2347-7946 2347-7962 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MGM Journal of Medical Sciences |
| spelling | doaj-art-3e207fc791a24b7088b8bbeb1776cb872025-01-17T10:55:34ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111480580710.4103/mgmj.mgmj_315_24Paecilomyces keratitis: a case reportDebapriya Das ChoudhuryMilind UbaleRimjhim BaranwalVaibhavi NanotyMayuri PatelOcular trauma involving vegetative matter is the most common cause of keratitis in ophthalmic practice in India, with many cases resulting in fungal keratitis or corneal ulceration. Here, we present a case of fungal keratitis due to Paecilomyces lilacinus that was successfully managed with oral and topical antifungal therapy, avoiding surgical intervention. The patient, a female, presented with a corneal abscess, conjunctival congestion, and persistent pain in her right eye after sustaining an ocular injury from vegetative matter. Based on the clinical signs, a provisional diagnosis of fungal keratitis was made, and treatment with 5% natamycin eye drops was initiated. Potassium hydroxide mount findings indicated fungal hyphae, leading to the addition of oral voriconazole due to suspected deuteromycosis. Fungal culture confirmed the presence of P. lilacinus. Gradually, the patient improved with antifungal therapy over a month without surgical intervention.https://doi.org/10.4103/mgmj.mgmj_315_24fungal keratitislaboratory diagnosispaecilomyces |
| spellingShingle | Debapriya Das Choudhury Milind Ubale Rimjhim Baranwal Vaibhavi Nanoty Mayuri Patel Paecilomyces keratitis: a case report MGM Journal of Medical Sciences fungal keratitis laboratory diagnosis paecilomyces |
| title | Paecilomyces keratitis: a case report |
| title_full | Paecilomyces keratitis: a case report |
| title_fullStr | Paecilomyces keratitis: a case report |
| title_full_unstemmed | Paecilomyces keratitis: a case report |
| title_short | Paecilomyces keratitis: a case report |
| title_sort | paecilomyces keratitis a case report |
| topic | fungal keratitis laboratory diagnosis paecilomyces |
| url | https://doi.org/10.4103/mgmj.mgmj_315_24 |
| work_keys_str_mv | AT debapriyadaschoudhury paecilomyceskeratitisacasereport AT milindubale paecilomyceskeratitisacasereport AT rimjhimbaranwal paecilomyceskeratitisacasereport AT vaibhavinanoty paecilomyceskeratitisacasereport AT mayuripatel paecilomyceskeratitisacasereport |