Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis
Purpose: To report a rare case of keratitis infected by Bipolaris hawaiiensis. Methods: A patient who was diagnosed as fungal keratitis caused by B. hawaiiensis was retrospectively reviewed for history, clinical characteristics, risk factors, laboratory findings, treatments, and outcomes. Results: A...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2016-07-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/447737 |
| _version_ | 1819238283972968448 |
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| author | Winai Chaidaroon Sumet Supalaset Napaporn Tananuvat Nongnuch Vanittanakom |
| author_facet | Winai Chaidaroon Sumet Supalaset Napaporn Tananuvat Nongnuch Vanittanakom |
| author_sort | Winai Chaidaroon |
| collection | DOAJ |
| description | Purpose: To report a rare case of keratitis infected by Bipolaris hawaiiensis. Methods: A patient who was diagnosed as fungal keratitis caused by B. hawaiiensis was retrospectively reviewed for history, clinical characteristics, risk factors, laboratory findings, treatments, and outcomes. Results: A 63-year-old man with a history of trauma and saw dust in the left eye presented with a corneal ulcer. Eye examination revealed whitish infiltration with a feathery edge and small brownish deposits in the anterior stroma of the left cornea. Numerous septate hyphal fragments were detected in a corneal specimen, and nucleotide sequence analysis identified B. hawaiiensis. Treatment was started with 5% natamycin eyedrops and oral itraconazole. Subsequently, a corneal plaque developed which did not respond to medication and debridement. The patient underwent therapeutic penetrating keratoplasty. Conclusions: B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. A brownish pigmented infiltration is an important diagnostic clue, however microbiologic studies are required to obtain a definite diagnosis. Although antifungal medication and debridement are the mainstay of most corneal fungal infection, therapeutic penetrating keratoplasty can prevent morbidity related to this fungal infection. |
| first_indexed | 2024-12-23T13:33:46Z |
| format | Article |
| id | doaj.art-3c9f55d472984ab397f6cfb52d7e6b7b |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-23T13:33:46Z |
| publishDate | 2016-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-3c9f55d472984ab397f6cfb52d7e6b7b2022-12-21T17:45:05ZengKarger PublishersCase Reports in Ophthalmology1663-26992016-07-017236437110.1159/000447737447737Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensisWinai ChaidaroonSumet SupalasetNapaporn TananuvatNongnuch VanittanakomPurpose: To report a rare case of keratitis infected by Bipolaris hawaiiensis. Methods: A patient who was diagnosed as fungal keratitis caused by B. hawaiiensis was retrospectively reviewed for history, clinical characteristics, risk factors, laboratory findings, treatments, and outcomes. Results: A 63-year-old man with a history of trauma and saw dust in the left eye presented with a corneal ulcer. Eye examination revealed whitish infiltration with a feathery edge and small brownish deposits in the anterior stroma of the left cornea. Numerous septate hyphal fragments were detected in a corneal specimen, and nucleotide sequence analysis identified B. hawaiiensis. Treatment was started with 5% natamycin eyedrops and oral itraconazole. Subsequently, a corneal plaque developed which did not respond to medication and debridement. The patient underwent therapeutic penetrating keratoplasty. Conclusions: B. hawaiiensis is a rare cause of corneal phaeohyphomycosis. A brownish pigmented infiltration is an important diagnostic clue, however microbiologic studies are required to obtain a definite diagnosis. Although antifungal medication and debridement are the mainstay of most corneal fungal infection, therapeutic penetrating keratoplasty can prevent morbidity related to this fungal infection.http://www.karger.com/Article/FullText/447737KeratitisDematiaceous fungusBipolaris hawaiiensisPhaeohyphomycosis |
| spellingShingle | Winai Chaidaroon Sumet Supalaset Napaporn Tananuvat Nongnuch Vanittanakom Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis Case Reports in Ophthalmology Keratitis Dematiaceous fungus Bipolaris hawaiiensis Phaeohyphomycosis |
| title | Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis |
| title_full | Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis |
| title_fullStr | Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis |
| title_full_unstemmed | Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis |
| title_short | Corneal Phaeohyphomycosis Caused by Bipolaris hawaiiensis |
| title_sort | corneal phaeohyphomycosis caused by bipolaris hawaiiensis |
| topic | Keratitis Dematiaceous fungus Bipolaris hawaiiensis Phaeohyphomycosis |
| url | http://www.karger.com/Article/FullText/447737 |
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