The purpose of the report is to describe a previously unreported case of polymicrobial mycotic keratitis, caused by Candida parapsilosis, Candida lusitaniae and Geotrichum candidum. A 3-years-old boy, after an ocular trauma and a prolonged use of corticosteroid-containing eyedrop, develop fungal keratitis in the right eye. The isolates of corneal scraping, obtained in narcosis, grew Candida parapsilosis, Candida lusitaniae and Geotrichum candidum. After 3 weeks of topical and systemic treatment with fluconazole, the corneal lesion resolved, with no functional damage and no recurrence after 4 month. This report emphasizes the risk of an indiscriminated use of corticosteroid-containing eyedrop, and the emerging importance of mycotic keratitis, with new fungal species implication. This is the first report of ocular infection attributable to Candida lusitaniae and Geotrichum candidum. Furthermore, topical administration of fluconazole resulted in dramatic improvement in fungal keratitis, representing a valid alternative to amphotericine B therapy.
|Translated title of the contribution||A case report of mycotic keratitis in a small child|
|Number of pages||3|
|Journal||Impegno Ospedaliero, Sezione Scientifica|
|Publication status||Published - 2002|
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