title: Scytalidium keratitis: case report in a human eye.
abstract: OBJECTIVE
  To describe the presentation and treatment of a case of an atypical reticular corneal infiltrate with surrounding immune-like ring in a young woman caused by Scytalidium fungal species.
  
  
  METHODS
  Interventional case report describing the clinical appearance, course, and treatment of Scytalidium keratitis.
  
  
  RESULTS
  A 21-year-old female equestrian with a history of soft contact lens wear was noted to have persistent keratitis and photophobia of the right eye after an injury with a volleyball. Although initially culture negative and responsive to topical steroids, the keratitis persisted, and repeat corneal scrapings and cultures revealed Scytalidium species. Treatment with topical amphotericin B 0.15% and oral fluconazole 200 mg twice daily eradicated the infection, and the patient had a final best-corrected visual acuity of 20/20.
  
  
  CONCLUSIONS
  Scytalidium species fungal organisms can cause an indolent keratitis. Intensive oral and topical antifungal therapy was successful in eradicating the infection.
authors.affiliation: Vision Associates, Toledo, OH 43615, USA. qaisf@umich.edu
authors.forename: Qais A
authors.initials: QA
authors.lastname: Farjo
authors.forename: Rand S
authors.initials: RS
authors.lastname: Farjo
authors.forename: Ayad A
authors.initials: AA
authors.lastname: Farjo
mesh_terms: D000284:Administration, Oral; D000287:Administration, Topical; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification*; D003320:Corneal Ulcer / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D009181:Mycoses / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B; D015725:Fluconazole