title: Polymicrobial keratomycosis in a three-year-old child.
abstract: OBJECTIVE
  To describe a previously unreported case of polymicrobial mycotic keratitis caused by an association between Candida lusitaniae, C. parapsilosis, and Geotrichum candidum.
  
  
  METHODS
  A three-year-old child with an antecedent trauma with vegetable matter and a prolonged use of corticosteroid eyedrops developed fungal keratitis.
  
  
  RESULTS
  The isolates of the corneal scraping using Sabaraud dextrose agar grew C. lusitaniae, C. parapsilosis, and G. candidum. After topical 0.2% and systemic fluconazole treatment, the corneal lesion resolved with no recurrence.
  
  
  CONCLUSIONS
  Corneal trauma with vegetables and the indiscriminate use of corticosteroids are important risk factors for mycotic keratitis. A combination of topical 0.2% and systemic fluconazole therapy was effective in the treatment of this mycotic association. This is the first report of fungal keratitis caused by C. lusitaniae and G. candidum.
authors.affiliation: Department of Surgery-Ophthalmology Unit, Institute of Child Health 'BURLO GAROFOLO', Trieste, Italy. parentin@burlo.trieste.it
authors.forename: Fulvio
authors.initials: F
authors.lastname: Parentin
authors.forename: Tatiana
authors.initials: T
authors.lastname: Liberali
authors.forename: Paolo
authors.initials: P
authors.lastname: Perissutti
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D002675:Child, Preschool; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005500:Follow-Up Studies; D005847:Geotrichosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005848:Geotrichum / Q000302:isolation & purification*; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents