[Fungal keratitis with annular infiltration and hypopyon].
Fungal keratitis is a rare disease in Northern Europe. We report the case of a 57-year-old female suffering from a paracentral corneal ulcer, following minor corneal trauma with a branch of a tree. Clinically, the ulcer was associated with a ring infiltrate and a hypopyon. Corneal smears and cultures were negative. As the corneal lesions and the hypopyon progressed despite maximal treatment, penetrating keratoplasty was performed on the assumption of a fungal origin. Histopathologic examination revealed pseudohyphae, morphologically compatible with a candida species. The clinical picture, its differential diagnosis and the diagnostic methods are discussed.
De Gottrau
P
P
Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg.
Holbach
L M
LM
Naumann
G O
GO
D000038:Abscess / Q000382:microbiology / Q000601:surgery; D002177:Candidiasis / Q000382:microbiology* / Q000601:surgery; D003320:Corneal Ulcer / Q000382:microbiology / Q000601:surgery; D015821:Eye Infections, Fungal / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007634:Keratitis / Q000382:microbiology* / Q000601:surgery; D015948:Keratoplasty, Penetrating; D008875:Middle Aged
Kératite mycosique avec infiltrat annulaire et hypopion.