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Ocular basidiobolomycosis - Rare presentation: A case report
Basidiobolus ranarum is an uncommon pathogen in ocular infections. It has been previously reported from subcutaneous and gastrointestinal infections. Here, we report a rare case of ocular infection caused by B. ranarum. A 21-year-old male patient presented with visual loss and pain in the right eye...
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Published in: | Indian journal of pathology & microbiology 2020-04, Vol.63 (2), p.270-272 |
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description | Basidiobolus ranarum is an uncommon pathogen in ocular infections. It has been previously reported from subcutaneous and gastrointestinal infections. Here, we report a rare case of ocular infection caused by B. ranarum. A 21-year-old male patient presented with visual loss and pain in the right eye due to corneal abscess following an injury while welding. KOH mount performed was indicative of fungal hyphae. Fungal culture revealed growth of B. ranarum. Meanwhile, the patient was treated with antifungal (topical natamycin and oral ketoconazole) along with total corneal transplantation. B. ranarum is a fungus very uncommonly causing ocular pathogenesis. This results in diagnostic confusion leading to poor treatment outcomes. Hence, a mycology laboratory has to be aware about this fungus and need to consider it as a differential diagnosis in patients with infectious corneal abscess. |
doi_str_mv | 10.4103/IJPM.IJPM_687_19 |
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It has been previously reported from subcutaneous and gastrointestinal infections. Here, we report a rare case of ocular infection caused by B. ranarum. A 21-year-old male patient presented with visual loss and pain in the right eye due to corneal abscess following an injury while welding. KOH mount performed was indicative of fungal hyphae. Fungal culture revealed growth of B. ranarum. Meanwhile, the patient was treated with antifungal (topical natamycin and oral ketoconazole) along with total corneal transplantation. B. ranarum is a fungus very uncommonly causing ocular pathogenesis. This results in diagnostic confusion leading to poor treatment outcomes. Hence, a mycology laboratory has to be aware about this fungus and need to consider it as a differential diagnosis in patients with infectious corneal abscess.</description><identifier>ISSN: 0377-4929</identifier><identifier>EISSN: 0974-5130</identifier><identifier>DOI: 10.4103/IJPM.IJPM_687_19</identifier><identifier>PMID: 32317530</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Abscess - diagnosis ; Antifungal agents ; Antifungal Agents - therapeutic use ; basidiobolus ranarum ; Case reports ; Cornea ; Cornea - pathology ; Corneal transplantation ; corneal ulcer ; Diagnosis, Differential ; Diagnostic systems ; Differential diagnosis ; Entomophthorales - pathogenicity ; Eye - drug effects ; Eye - microbiology ; Eye Diseases - diagnosis ; Eye Diseases - drug therapy ; Eye Diseases - microbiology ; Fungi ; Fungicides ; Gastrointestinal diseases ; Humans ; Hyphae ; Infection ; Infections ; Ketoconazole ; Male ; Mycology ; Natamycin ; ocular basidiobolomycosis ; Pain ; Pathogenesis ; Potassium ; Surgery ; Transplantation ; Trauma ; Welding ; Young Adult ; Zygomycosis - diagnosis ; Zygomycosis - drug therapy ; Zygomycosis - microbiology</subject><ispartof>Indian journal of pathology & microbiology, 2020-04, Vol.63 (2), p.270-272</ispartof><rights>COPYRIGHT 2020 Medknow Publications and Media Pvt. Ltd.</rights><rights>2020. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c488b-5cebda009e1d86cfbd9725bbcab5112e53073d730b9654ca796e898f64d7c0c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2399170119?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25753,27924,27925,37012,44590</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32317530$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baradkar, Vasant</creatorcontrib><creatorcontrib>Chatterjee, Nirjhar</creatorcontrib><creatorcontrib>Shastri, Jayanthi</creatorcontrib><creatorcontrib>Vedpathak, Manoj</creatorcontrib><title>Ocular basidiobolomycosis - Rare presentation: A case report</title><title>Indian journal of pathology & microbiology</title><addtitle>Indian J Pathol Microbiol</addtitle><description>Basidiobolus ranarum is an uncommon pathogen in ocular infections. It has been previously reported from subcutaneous and gastrointestinal infections. Here, we report a rare case of ocular infection caused by B. ranarum. A 21-year-old male patient presented with visual loss and pain in the right eye due to corneal abscess following an injury while welding. KOH mount performed was indicative of fungal hyphae. Fungal culture revealed growth of B. ranarum. Meanwhile, the patient was treated with antifungal (topical natamycin and oral ketoconazole) along with total corneal transplantation. B. ranarum is a fungus very uncommonly causing ocular pathogenesis. This results in diagnostic confusion leading to poor treatment outcomes. Hence, a mycology laboratory has to be aware about this fungus and need to consider it as a differential diagnosis in patients with infectious corneal abscess.</description><subject>Abscess - diagnosis</subject><subject>Antifungal agents</subject><subject>Antifungal Agents - therapeutic use</subject><subject>basidiobolus ranarum</subject><subject>Case reports</subject><subject>Cornea</subject><subject>Cornea - pathology</subject><subject>Corneal transplantation</subject><subject>corneal ulcer</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic systems</subject><subject>Differential diagnosis</subject><subject>Entomophthorales - pathogenicity</subject><subject>Eye - drug effects</subject><subject>Eye - microbiology</subject><subject>Eye Diseases - diagnosis</subject><subject>Eye Diseases - drug therapy</subject><subject>Eye Diseases - microbiology</subject><subject>Fungi</subject><subject>Fungicides</subject><subject>Gastrointestinal diseases</subject><subject>Humans</subject><subject>Hyphae</subject><subject>Infection</subject><subject>Infections</subject><subject>Ketoconazole</subject><subject>Male</subject><subject>Mycology</subject><subject>Natamycin</subject><subject>ocular basidiobolomycosis</subject><subject>Pain</subject><subject>Pathogenesis</subject><subject>Potassium</subject><subject>Surgery</subject><subject>Transplantation</subject><subject>Trauma</subject><subject>Welding</subject><subject>Young Adult</subject><subject>Zygomycosis - diagnosis</subject><subject>Zygomycosis - drug therapy</subject><subject>Zygomycosis - microbiology</subject><issn>0377-4929</issn><issn>0974-5130</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kdtrFDEUxoMotlbffZIBn2fNZTKZiC9LqbpSqUjfw0lypmQ7M1mTGZb-96bdXhQ0gVwO3_dxkh8hbxldNYyKD5tvP76vbhfTdsow_YwcU62aWjJBn5ezUKpuNNdH5FXOW0rbhkvxkhwJLpiSgh6TTxduGSBVFnLwIdo4xPHGxRxyVVc_IWG1S5hxmmEOcfpYrSsHGauEu5jm1-RFD0PGN_f7Cbn8fHZ5-rU-v_iyOV2f167pOltLh9YDpRqZ71rXW68Vl9Y6sJIxjqURJbwS1OpWNg6UbrHTXd82XjnqxAnZHGJ9hK3ZpTBCujERgrkrxHRlIM3BDWikbsCh462TtBEeOi0lOKo7Xy7Q8ZL1_pC1S_HXgnk227ikqXRvuNCaKcqYflJdQQkNUx_nBG4M2Zl1yzmXtIyiWv1DVabHMbg4YR9K_S8DPRhcijkn7B8fw6i5BWruWP4BtFje3fe72BH9o-GB4NPn7OMwY8rXw7LHZIr2eor7_wYbrqg5sDcP7MVvuaiy8w</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Baradkar, Vasant</creator><creator>Chatterjee, Nirjhar</creator><creator>Shastri, Jayanthi</creator><creator>Vedpathak, Manoj</creator><general>Wolters Kluwer India Pvt. 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diagnosis</topic><topic>Antifungal agents</topic><topic>Antifungal Agents - therapeutic use</topic><topic>basidiobolus ranarum</topic><topic>Case reports</topic><topic>Cornea</topic><topic>Cornea - pathology</topic><topic>Corneal transplantation</topic><topic>corneal ulcer</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic systems</topic><topic>Differential diagnosis</topic><topic>Entomophthorales - pathogenicity</topic><topic>Eye - drug effects</topic><topic>Eye - microbiology</topic><topic>Eye Diseases - diagnosis</topic><topic>Eye Diseases - drug therapy</topic><topic>Eye Diseases - microbiology</topic><topic>Fungi</topic><topic>Fungicides</topic><topic>Gastrointestinal diseases</topic><topic>Humans</topic><topic>Hyphae</topic><topic>Infection</topic><topic>Infections</topic><topic>Ketoconazole</topic><topic>Male</topic><topic>Mycology</topic><topic>Natamycin</topic><topic>ocular basidiobolomycosis</topic><topic>Pain</topic><topic>Pathogenesis</topic><topic>Potassium</topic><topic>Surgery</topic><topic>Transplantation</topic><topic>Trauma</topic><topic>Welding</topic><topic>Young Adult</topic><topic>Zygomycosis - 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Rare presentation: A case report</atitle><jtitle>Indian journal of pathology & microbiology</jtitle><addtitle>Indian J Pathol Microbiol</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>63</volume><issue>2</issue><spage>270</spage><epage>272</epage><pages>270-272</pages><issn>0377-4929</issn><eissn>0974-5130</eissn><abstract>Basidiobolus ranarum is an uncommon pathogen in ocular infections. It has been previously reported from subcutaneous and gastrointestinal infections. Here, we report a rare case of ocular infection caused by B. ranarum. A 21-year-old male patient presented with visual loss and pain in the right eye due to corneal abscess following an injury while welding. KOH mount performed was indicative of fungal hyphae. Fungal culture revealed growth of B. ranarum. Meanwhile, the patient was treated with antifungal (topical natamycin and oral ketoconazole) along with total corneal transplantation. B. ranarum is a fungus very uncommonly causing ocular pathogenesis. This results in diagnostic confusion leading to poor treatment outcomes. Hence, a mycology laboratory has to be aware about this fungus and need to consider it as a differential diagnosis in patients with infectious corneal abscess.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. 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subjects | Abscess - diagnosis Antifungal agents Antifungal Agents - therapeutic use basidiobolus ranarum Case reports Cornea Cornea - pathology Corneal transplantation corneal ulcer Diagnosis, Differential Diagnostic systems Differential diagnosis Entomophthorales - pathogenicity Eye - drug effects Eye - microbiology Eye Diseases - diagnosis Eye Diseases - drug therapy Eye Diseases - microbiology Fungi Fungicides Gastrointestinal diseases Humans Hyphae Infection Infections Ketoconazole Male Mycology Natamycin ocular basidiobolomycosis Pain Pathogenesis Potassium Surgery Transplantation Trauma Welding Young Adult Zygomycosis - diagnosis Zygomycosis - drug therapy Zygomycosis - microbiology |
title | Ocular basidiobolomycosis - Rare presentation: A case report |
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