Intense photophobia caused by Arthrographis kalrae in a contact lens-wearing patient.
OBJECTIVE
To report a case of Arthrographis kalrae keratitis and to note that its clinical manifestation resembles Acanthamoeba corneal infection.


METHODS
Case report.


RESULTS
The patient's keratitis was caused by A kalrae, a very rare soil fungus.


CONCLUSIONS
Arthrographis kalrae can cause a keratitis that manifests with severe photophobia and a slowly progressive corneal infiltrate whose symptoms can mimic Acanthamoeba. Our patient most likely acquired the fungus from exposure to soil and not from her contact lenses.
Perlman
E M
EM
Rhode Island Eye Institute, Providence 02906, USA. cornia@aol.com
Binns
L
L
D000284:Administration, Oral; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003261:Contact Lenses; D003315:Cornea / Q000382:microbiology / Q000473:pathology; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D007654:Ketoconazole / Q000627:therapeutic use; D008027:Light; D008875:Middle Aged; D003904:Mitosporic Fungi / Q000302:isolation & purification*; D009181:Mycoses / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D009883:Ophthalmic Solutions; D014786:Vision Disorders / Q000382:microbiology*
D000935:Antifungal Agents; D009883:Ophthalmic Solutions; D000666:Amphotericin B; D007654:Ketoconazole