title: Phialemonium obovatum keratitis after penetration injury of the cornea.
abstract: Phialemonium keratitis is a very rare case and we encountered a case of keratitis caused by Phialemonium obovatum (P. obovatum) after penetrating injury to the cornea. This is the first case report in the existing literature. A 54-year-old male was referred to us after a penetration injury, and prompt primary closure was performed. Two weeks after surgery, an epithelial defect and stromal melting were observed near the laceration site. P. obovatum was identified, and then identified again on repeated cultures. Subsequently, Natacin was administered every two hours. Amniotic membrane transplantation was performed due to a persistent epithelial defect and impending corneal perforation. Three weeks after amniotic membrane transplantation, the epithelial defect had completely healed, but the cornea had turned opaque. Six months after amniotic membrane transplantation, visual acuity was light perception only, and corneal thinning and diffuse corneal opacification remained opaque. Six months after amniotic membrane transplantation, visual acuity was light perception only, and corneal thinning and diffuse corneal opacification remained.
authors.affiliation: Department of Ophthalmology, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Kwon Ho
authors.initials: KH
authors.lastname: Hong
authors.forename: Nam Hee
authors.initials: NH
authors.lastname: Ryoo
authors.forename: Sung Dong
authors.initials: SD
authors.lastname: Chang
mesh_terms: D003315:Cornea / Q000382:microbiology / Q000473:pathology; D065306:Corneal Injuries; D003937:Diagnosis, Differential; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology*; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D005658:Fungi / Q000302:isolation & purification; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology*; D008297:Male; D008875:Middle Aged