2024, Cilt 54, Sayı 1, Sayfa(lar) 072-077 |
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Fusarium Keratitis Progressing to Endophtalmitis After Corn Tassel Contact: Case Report |
Alperen Ceylan1, Fatma Esenkaya Taşbent1, Selman Belviranlı2, Buse Uzunlu2, Günhal Şatırtav2, Refik Oltulu21, Hüma Gökmen1 |
1Necmettin Erbakan Üniversitesi Tıp Fakültesi Hastanesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Konya, Türkiye 2Necmettin Erbakan Üniversitesi Tıp Fakültesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Konya, Türkiye |
Keywords: Fusarium solani, endophthalmitis, corn tassel |
Fusarium is a genus of mold fungi that is usually found in the soil and on plants. Fusarium keratitis may
permeate rapidly with the facilitating effect of various risk factors and corneal destruction and endophthalmitis
may develop eventually. In this report, we present a 50-year-old male patient, whose left eye was traumatized
by a corn tassel while working in the farm and applied to an ophthalmology clinic with complaints of pain
and decreased vision. As his complaints continued despite treatment, he was referred to ophthalmology clinic
of a university hospital. Corneal opacity and conjunctival hyperemia were observed in the left eye. Possibility
of a fungal infection was considered due to the presence of a 5x5 mm epithelial defect and a white stromal
infiltrate with feathery edges in the inferior paracentral part of the cornea during biomicroscopic examination.
Mold colonies grew in culture and were interpreted as Fusarium spp. with lactophenol cotton blue staining. The
isolated strain was identified by sequence analysis, and the causative agent was determined as ‘Fusarium solani
species complex’. Despite medical treatment and surgical operations, the infection spread to the intraocular
structures, which obliged the evisceration of the eye. No signs of infection were found in the postoperative
follow-up examinations. It is thought that this case report may contribute to the literature in terms of drawing
attention to the transmission routes and clinical course of the causative agent.
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