Colletotrichum graminicola: a new corneal pathogen.
OBJECTIVE
We report the first case of an ocular infection with the fungus Colletotrichum graminicola causing keratitis in a 27-year-old man.


METHODS
Twenty-four months after a postoperative course complicated by recurrent fungal keratitis requiring two penetrating keratoplasties, two anterior chamber washouts, a conjunctival flap, and medical treatment with topical natamycin, intracameral amphotericin B, and oral fluconazole.


RESULTS
The patient has shown no signs of fungal recurrence despite a failed corneal graft.


CONCLUSIONS
C. graminicola is a new corneal pathogen and should be included in the differential diagnosis of mycotic keratitis.
Ritterband
D C
DC
New York Eye and Ear Infirmary, New York 10003, USA.
Shah
M
M
Seedor
J A
JA
D000328:Adult; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003315:Cornea / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004333:Drug Administration Routes; D015821:Eye Infections, Fungal / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D007634:Keratitis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D015948:Keratoplasty, Penetrating; D008297:Male; D003904:Mitosporic Fungi; D012008:Recurrence
D000935:Antifungal Agents