Microcyclosporella mali: a novel fungal keratitis in a post-penetrating keratoplasty patient

BMJ Case Reports
Neil VyasWuqaas Munir

Abstract

An 86-year-old woman underwent penetrating keratoplasty for pseudophakic bullous keratopathy and presented with an acute corneal ulcer thereafter. Examination demonstrated a fluffy white infiltrate and epithelial defect with subsequent endothelial plaque formation and anterior chamber inflammation. The ulcer was cultured, and fortified topical vancomycin and tobramycin were initiated but failed to significantly improve the clinical course. Cultures were ultimately positive for fungus Microcyclosporella mali that responded well to topical natamycin with stabilisation of the ulcer after 6 weeks of topical therapy. This is the first reported case of fungal keratitis due to M. mali.

References

Jun 14, 2006·Archives of Ophthalmology·Eduardo C AlfonsoYunhee Lee
Jun 11, 2009·Cornea·Ula JurkunasKathryn Colby

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Citations

May 17, 2018·Annals of the New York Academy of Sciences·Purva GopalILKe Nalbantoglu

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