More than tears in your eyes (Exophiala jeanselmei keratitis).
OBJECTIVE
To describe a patient with Exophiala jeanselmei keratitis. METHODS.


METHODS
One patient with persistent corneal infiltrate that developed several days after a minor ocular trauma from an onion slice.


RESULTS
Culture plates from corneal scraping showed a growth of the yeast Exophiala jeanselmei, a rare causative agent of ocular infection.


CONCLUSIONS
Whenever a corneal abscess does not improve with the usual antibiotic treatment, a thorough ophthalmic history should be taken to determine whether there was a recent ocular trauma. If the trauma was caused by a plant material, the physician should raise the possibility of an unusual fungal infection.
Ben-Simon
Guy J
GJ
Goldschleger Eye Institute, Sheba Medical Center, Tel Aviv University, Tel-Hashomer 52621, Israel. guybs@barak-online.net
Barequet
Irina S
IS
Grinbaum
Aaron
A
D000666:Amphotericin B / Q000008:administration & dosage; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002710:Chlorhexidine / Q000008:administration & dosage; D065306:Corneal Injuries; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005093:Exophiala / Q000302:isolation & purification*; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005131:Eye Injuries / Q000382:microbiology; D005260:Female; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008875:Middle Aged; D009181:Mycoses / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D010866:Natamycin / Q000008:administration & dosage; D014949:Wounds, Nonpenetrating / Q000382:microbiology
D000891:Anti-Infective Agents, Local; D000666:Amphotericin B; D010866:Natamycin; D002710:Chlorhexidine