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Vol. 90. Issue 8.
Pages 382-384 (August 2015)
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Vol. 90. Issue 8.
Pages 382-384 (August 2015)
Short communication
Multidrug resistant Fusarium keratitis
Queratitis por Fusarium multirresistente
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P. Antequeraa, V. Garcia-Concab, C. Martín-Gonzáleza, V. Ortiz-de-la-Tablaa,
Corresponding author
ortiz_vic@gva.es

Corresponding author.
a Servicio de Microbiología, Hospital Universitario San Juan, Alicante, Spain
b Servicio de Oftalmología, Hospital Universitario San Juan, Alicante, Spain
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Abstract
Case report

We report a case of keratitis in a female contact lens wearer, who developed a deep corneal abscess. The culture of a corneal biopsy scraping was positive for multiresistant Fusarium solani. The patient has a complicated clinical course and failed to respond to local and systemic antifungal treatment, requiring eye enucleation.

Conclusion

Fusarium keratitis may progress to severe endophthalmitis. Clinical suspicion is paramount in order to start antifungal therapy without delay. Therapy is complex due to the high resistance of this organism to usual antifungal drugs.

Keywords:
Keratitis
Endophthalmitis
Fusarium solani
Contact lens
Resumen
Caso clínico

Se presenta un caso de queratitis en una usuaria de lentes de contacto que desarrolló un absceso corneal profundo. En el cultivo de la biopsia corneal creció Fusarium solani multirresistente. La paciente empeoró progresivamente a pesar del tratamiento antifúngico local y sistémico y finalmente hubo que realizar una enucleación.

Conclusión

La queratitis por Fusarium puede progresar a una endoftalmitis con graves consecuencias. Es importante la sospecha diagnóstica para iniciar el tratamiento sin demora. El tratamiento es complejo dada la elevada resistencia de este hongo a los antifúngicos habituales.

Palabras clave:
Queratitis
Endoftalmitis
Fusarium solani
Lentes de contacto

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