title: Pediatric Metarrhizium anisopliae keratitis.
abstract: Metarrhizium anisopliae (M. anisopliae) is an entomopathogenic fungus used as an agricultural pesticide in many countries, including the United States. M. anisopliae grows optimally at 25°C and is therefore considered safe to humans. We report a case of a 12-year-old girl who is a soft contact lens wearer with M. anisopliae corneal ulcer who was treated effectively with topical natamycin after identification of the organism by corneal culture. Topical amphotericin B was not effective.
authors.affiliation: Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, and Department of Ophthalmology, University of Cincinnati, Cincinnati, OH 45229, USA. william.motley@cchmc.org
authors.forename: W Walker
authors.initials: WW
authors.lastname: Motley
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Melson
authors.forename: Joel E
authors.initials: JE
authors.lastname: Mortensen
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D003263:Contact Lenses, Hydrophilic; D003320:Corneal Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D003904:Mitosporic Fungi / Q000302:isolation & purification*; D009181:Mycoses / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents