Postoperative keratitis due to Paecilomyces : a rare pediatric case

Fungal infections like have emerged in childhood recently. The diagnosis and treatment of is difficult and the outcome is usually poor. Corneal culture should be performed on fungal media such as Sabouraud glucose neopeptone agar (SDA) as soon as possible for diagnosis. We report a rare case of in a...

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Bibliographic Details
Published in:The Pan African medical journal 2016-08, Vol.24 (317), p.317-317
Main Authors: Toker, Ebru, Ziyade, Nihan, Atici, Serkan, Eda, Kepenekli Kadayifçi, Türel, Özden, Toprak, Demet, Oray, Merih, Cerikcioglu, Nilgün, Soysal, Ahmet, Bakir, Mustafa
Format: Article
Language:English
Subjects:
Adolescent
Amphotericin B - therapeutic use
Antifungal agents
Antifungal Agents - therapeutic use
Case Report
Cornea - microbiology
Eye Infections, Fungal - diagnosis
Eye Infections, Fungal - drug therapy
Eye Infections, Fungal - microbiology
fungal infection
Humans
Keratitis - diagnosis
Keratitis - drug therapy
Keratitis - microbiology
Male
Ophthalmologic Surgical Procedures - adverse effects
paecilomyces
Paecilomyces - isolation & purification
Pediatrics
Postoperative Complications - diagnosis
Postoperative Complications - drug therapy
Postoperative Complications - microbiology
voriconazole
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Summary:Fungal infections like have emerged in childhood recently. The diagnosis and treatment of is difficult and the outcome is usually poor. Corneal culture should be performed on fungal media such as Sabouraud glucose neopeptone agar (SDA) as soon as possible for diagnosis. We report a rare case of in an immunocompetent child, which was unresponsive to amphotericin B. The case was managed by a multidisciplinary approach involving the departments of ophthalmology, microbiology and pediatric infectious diseases. We want to draw attention once again that fungal keratitis caused by unusual agents are increasing. Physicians should consider fungal causes of keratitis, in patients with some predisposing factors like ocular surgery and prolonged use of topical corticosteroids.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2016.24.317.9772