Polymicrobial keratomycosis in a three-year-old child

Fulvio Parentin; Tatiana Liberali; Paolo Perissutti

doi:10.1080/09273940500328487

Polymicrobial keratomycosis in a three-year-old child

Fulvio Parentin, Tatiana Liberali, Paolo Perissutti

IRCCS pediatrico Burlo Garofolo

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To describe a previously unreported case of polymicrobial mycotic keratitis caused by an association between Candida lusitaniae, C. pampsilosis, and Geotrichum candidum. Methods: A three-year-old child with an antecedent trauma with vegetable matter and a prolonged use of corticosteroid eyedrops developed fungal keratitis. Results: The isolates of the corneal scraping using Sabaraud dextrose agar grew C. lusitaniae, C. parapsilosis, and G. candidum. After topical 0.2% and systemic fluconazole treatment, the corneal lesion resolved with no recurrence. Conclusions: Corneal trauma with vegetables and the indiscriminate use of corticosteroids are important risk factors for mycotic keratitis. A combination of topical 0.2% and systemic fluconazole therapy was effective in the treatment of this mycotic association. This is the first report of fungal keratitis caused by C. lusitaniae and G. candidum.

Original language	English
Pages (from-to)	129-131
Number of pages	3
Journal	Ocular Immunology and Inflammation
Volume	14
Issue number	2
DOIs	https://doi.org/10.1080/09273940500328487
Publication status	Published - Mar 1 2006

Keywords

Candida lusitaniae
Candida parapsilosis
Child
Geotrichum candidum
Keratitis
Polymicrobial keratomycosis

ASJC Scopus subject areas

Immunology and Allergy
Ophthalmology

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title = "Polymicrobial keratomycosis in a three-year-old child",

abstract = "Purpose: To describe a previously unreported case of polymicrobial mycotic keratitis caused by an association between Candida lusitaniae, C. pampsilosis, and Geotrichum candidum. Methods: A three-year-old child with an antecedent trauma with vegetable matter and a prolonged use of corticosteroid eyedrops developed fungal keratitis. Results: The isolates of the corneal scraping using Sabaraud dextrose agar grew C. lusitaniae, C. parapsilosis, and G. candidum. After topical 0.2% and systemic fluconazole treatment, the corneal lesion resolved with no recurrence. Conclusions: Corneal trauma with vegetables and the indiscriminate use of corticosteroids are important risk factors for mycotic keratitis. A combination of topical 0.2% and systemic fluconazole therapy was effective in the treatment of this mycotic association. This is the first report of fungal keratitis caused by C. lusitaniae and G. candidum.",

keywords = "Candida lusitaniae, Candida parapsilosis, Child, Geotrichum candidum, Keratitis, Polymicrobial keratomycosis",

author = "Fulvio Parentin and Tatiana Liberali and Paolo Perissutti",

year = "2006",

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doi = "10.1080/09273940500328487",

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AU - Parentin, Fulvio

AU - Liberali, Tatiana

AU - Perissutti, Paolo

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Y1 - 2006/3/1

N2 - Purpose: To describe a previously unreported case of polymicrobial mycotic keratitis caused by an association between Candida lusitaniae, C. pampsilosis, and Geotrichum candidum. Methods: A three-year-old child with an antecedent trauma with vegetable matter and a prolonged use of corticosteroid eyedrops developed fungal keratitis. Results: The isolates of the corneal scraping using Sabaraud dextrose agar grew C. lusitaniae, C. parapsilosis, and G. candidum. After topical 0.2% and systemic fluconazole treatment, the corneal lesion resolved with no recurrence. Conclusions: Corneal trauma with vegetables and the indiscriminate use of corticosteroids are important risk factors for mycotic keratitis. A combination of topical 0.2% and systemic fluconazole therapy was effective in the treatment of this mycotic association. This is the first report of fungal keratitis caused by C. lusitaniae and G. candidum.

AB - Purpose: To describe a previously unreported case of polymicrobial mycotic keratitis caused by an association between Candida lusitaniae, C. pampsilosis, and Geotrichum candidum. Methods: A three-year-old child with an antecedent trauma with vegetable matter and a prolonged use of corticosteroid eyedrops developed fungal keratitis. Results: The isolates of the corneal scraping using Sabaraud dextrose agar grew C. lusitaniae, C. parapsilosis, and G. candidum. After topical 0.2% and systemic fluconazole treatment, the corneal lesion resolved with no recurrence. Conclusions: Corneal trauma with vegetables and the indiscriminate use of corticosteroids are important risk factors for mycotic keratitis. A combination of topical 0.2% and systemic fluconazole therapy was effective in the treatment of this mycotic association. This is the first report of fungal keratitis caused by C. lusitaniae and G. candidum.

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KW - Geotrichum candidum

KW - Keratitis

KW - Polymicrobial keratomycosis

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Polymicrobial keratomycosis in a three-year-old child

Abstract

Keywords

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