Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate
Purpose: We present the clinical and histopathological findings of a geographically unique Lasiodiplodia theobromae fungal keratitis case in North Carolina. L. theobromae is a rare cause of fungal keratitis, and all but one of the 51 previously reported cases have occurred in patients living in the...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993623001524 |
| _version_ | 1797399071103647744 |
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| author | Calvin Hamerski Alan D. Proia |
| author_facet | Calvin Hamerski Alan D. Proia |
| author_sort | Calvin Hamerski |
| collection | DOAJ |
| description | Purpose: We present the clinical and histopathological findings of a geographically unique Lasiodiplodia theobromae fungal keratitis case in North Carolina. L. theobromae is a rare cause of fungal keratitis, and all but one of the 51 previously reported cases have occurred in patients living in the tropics. Observations: A man in his early 50s developed L. theobromae keratitis after being struck in the left eye by a piece of debris while using a flexible-cord weed trimmer. Intracapsular lensectomy and penetrating keratoplasty were necessary when initial antimicrobial therapy was ineffective. The best-corrected visual acuity was 20/40 four years postoperatively. Conclusions and Importance: Our patient is only the second example of L. theobromae keratitis in a patient living in a sub-tropical climate and the first case in the U.S.A. outside of Florida. Additional in-vitro antibiotic sensitivity testing and documentation of more clinical cases are needed to define the optimal therapy for Lasiodiplodia theobromae keratitis. |
| first_indexed | 2024-03-09T01:34:09Z |
| format | Article |
| id | doaj.art-4ea991de9dd843d8a37c3a1bec415078 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-03-09T01:34:09Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-4ea991de9dd843d8a37c3a1bec4150782023-12-09T06:07:20ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-12-0132101944Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climateCalvin Hamerski0Alan D. Proia1Campbell University Jerry M. Wallace School of Osteopathic Medicine, Lillington, NC, 27546, USACampbell University Jerry M. Wallace School of Osteopathic Medicine, Lillington, NC, 27546, USA; Departments of Pathology and Ophthalmology, Duke University Medical Center, Durham, NC, 27710, USA; Corresponding author. Department of Pathology, Duke University Medical Center, DUMC 3712, Durham, NC, 27710, USA.Purpose: We present the clinical and histopathological findings of a geographically unique Lasiodiplodia theobromae fungal keratitis case in North Carolina. L. theobromae is a rare cause of fungal keratitis, and all but one of the 51 previously reported cases have occurred in patients living in the tropics. Observations: A man in his early 50s developed L. theobromae keratitis after being struck in the left eye by a piece of debris while using a flexible-cord weed trimmer. Intracapsular lensectomy and penetrating keratoplasty were necessary when initial antimicrobial therapy was ineffective. The best-corrected visual acuity was 20/40 four years postoperatively. Conclusions and Importance: Our patient is only the second example of L. theobromae keratitis in a patient living in a sub-tropical climate and the first case in the U.S.A. outside of Florida. Additional in-vitro antibiotic sensitivity testing and documentation of more clinical cases are needed to define the optimal therapy for Lasiodiplodia theobromae keratitis.http://www.sciencedirect.com/science/article/pii/S2451993623001524Lasiodiplodia theobromaeCorneaKeratitisFungal keratitisGeographic distributionCase report |
| spellingShingle | Calvin Hamerski Alan D. Proia Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate American Journal of Ophthalmology Case Reports Lasiodiplodia theobromae Cornea Keratitis Fungal keratitis Geographic distribution Case report |
| title | Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate |
| title_full | Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate |
| title_fullStr | Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate |
| title_full_unstemmed | Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate |
| title_short | Lasiodiplodia theobromae keratitis: A rare tropical fungal keratitis in a non-tropical climate |
| title_sort | lasiodiplodia theobromae keratitis a rare tropical fungal keratitis in a non tropical climate |
| topic | Lasiodiplodia theobromae Cornea Keratitis Fungal keratitis Geographic distribution Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2451993623001524 |
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