A Fungal Corneal Ulcer Caused by Talaromyces allahabadensis
10.3341/jkos.2020.61.4.423
- Author:
Yong Wun CHO
1
;
Jung Hyun BYUN
;
Hyun Ji KANG
;
Woong Sun YOO
;
Seong Wook SEO
;
Seong Jae KIM
Author Information
1. Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea
- Publication Type:Case Report
- From:Journal of the Korean Ophthalmological Society
2020;61(4):423-427
- CountryRepublic of Korea
-
Abstract:
Purpose:Here, we report a case of a fungal corneal ulcer caused by Talaromyces allahabadensis (T. allahabadensis).Case summary: A 69-year-old male was admitted to our hospital with pain and hyperemia in his left eye after 2 months of treatmentat a local clinic for herpetic keratitis. The patient had a previous history of trauma to his left eye caused by a persimmon treebranch. He had a peripheral epithelial defect, stromal infiltration, and severe corneal edema in his left eye. Gram staining, a KOHsmear, and a culture were performed using corneal specimens; the results were all negative. With the assumption of herpetickeratitis, antiviral and empirical antibiotic treatments were started. After 2 weeks, the stromal infiltrations on his left eye increased,so we again conducted staining and culture studies. T. allahabadensis was isolated from a specimen, so treatment wasstarted using antifungal agents, and a conjunctival flap graft was performed due to the risk of a corneal perforation.
Conclusions:A case of corneal ulcer caused by T. allahabadensis in a patient with posttraumatic herpetic keratitis was successfullytreated with antifungal agents and conjunctival flap surgery.
