First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran

Background and Purpose: Herein, we report the first case of fungal keratitis due to Aspergillus minisclerotigenes in a 68-year-old rural woman admitted to the Ophthalmology Center of Khatam-Al-Anbia Hospital in Mashhad, northeast of Iran.<br /> <br /> Case report: The patient presented w...

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Main Authors: Mohammad Javad Najafzadeh, Mahmoud Karimizadeh Esfahani, Alireza Eslampoor, Somayeh Dolatabadi, Jos Houbraken
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2019-06-01
Series:Current Medical Mycology
Subjects:
Online Access:http://cmm.mazums.ac.ir/article_90419_b966252640ee2745ebfe0e5d4dd7ec08.pdf
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author Mohammad Javad Najafzadeh
Mahmoud Karimizadeh Esfahani
Alireza Eslampoor
Somayeh Dolatabadi
Jos Houbraken
author_facet Mohammad Javad Najafzadeh
Mahmoud Karimizadeh Esfahani
Alireza Eslampoor
Somayeh Dolatabadi
Jos Houbraken
author_sort Mohammad Javad Najafzadeh
collection DOAJ
description Background and Purpose: Herein, we report the first case of fungal keratitis due to Aspergillus minisclerotigenes in a 68-year-old rural woman admitted to the Ophthalmology Center of Khatam-Al-Anbia Hospital in Mashhad, northeast of Iran.<br /> <br /> Case report: The patient presented with severe pain, burning, foreign body sensation, and reduced vision in her right eye. She had long-term uncontrolled diabetes and was not able to close her eye due to an anatomical problem with the eyelid. The cornea smear sample was cultured, and the fungus was initially identified as Aspergillus flavus. The isolated strain was further identified by sequencing a part of the calmodulin gene as A. minisclerotigenes. The patient did not respond to any antifungal treatments (e.g., amphotericin B and voriconazole drops, and fluconazole 300 mg/day); therefore, she was eventually subjected to corneal transplantation surgery.<br /> <br /> Conclusion: Fungal keratitis can be caused by the less common species. The reliable identification of the causative agents can be accomplished by the implementation of molecular methods.
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spelling doaj.art-dc209fce289443e89b4e356ff1e306652022-12-21T19:25:21ZengMazandaran University of Medical SciencesCurrent Medical Mycology2423-34392423-34202019-06-0152454810.18502/cmm.5.2.116290419First case of fungal keratitis due to Aspergillus minisclerotigenes in IranMohammad Javad Najafzadeh0Mahmoud Karimizadeh Esfahani1Alireza Eslampoor2Somayeh Dolatabadi3Jos Houbraken4Mashhad University of Medical SciencesDepartment of Parasitology and Mycology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranEye Research Centre, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranFaculty of Engineering, Sabzevar University of New Technology, Sabzevar, IranWesterdijk Fungal Biodiversity Institute, Utrecht, the NetherlandsBackground and Purpose: Herein, we report the first case of fungal keratitis due to Aspergillus minisclerotigenes in a 68-year-old rural woman admitted to the Ophthalmology Center of Khatam-Al-Anbia Hospital in Mashhad, northeast of Iran.<br /> <br /> Case report: The patient presented with severe pain, burning, foreign body sensation, and reduced vision in her right eye. She had long-term uncontrolled diabetes and was not able to close her eye due to an anatomical problem with the eyelid. The cornea smear sample was cultured, and the fungus was initially identified as Aspergillus flavus. The isolated strain was further identified by sequencing a part of the calmodulin gene as A. minisclerotigenes. The patient did not respond to any antifungal treatments (e.g., amphotericin B and voriconazole drops, and fluconazole 300 mg/day); therefore, she was eventually subjected to corneal transplantation surgery.<br /> <br /> Conclusion: Fungal keratitis can be caused by the less common species. The reliable identification of the causative agents can be accomplished by the implementation of molecular methods.http://cmm.mazums.ac.ir/article_90419_b966252640ee2745ebfe0e5d4dd7ec08.pdfaspergillus minisclerotigenesfungal keratitisiran
spellingShingle Mohammad Javad Najafzadeh
Mahmoud Karimizadeh Esfahani
Alireza Eslampoor
Somayeh Dolatabadi
Jos Houbraken
First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran
Current Medical Mycology
aspergillus minisclerotigenes
fungal keratitis
iran
title First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran
title_full First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran
title_fullStr First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran
title_full_unstemmed First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran
title_short First case of fungal keratitis due to Aspergillus minisclerotigenes in Iran
title_sort first case of fungal keratitis due to aspergillus minisclerotigenes in iran
topic aspergillus minisclerotigenes
fungal keratitis
iran
url http://cmm.mazums.ac.ir/article_90419_b966252640ee2745ebfe0e5d4dd7ec08.pdf
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