title: [Keratitis by Lasiodiplodia theobromae: a case report and literature review].
abstract: We report a case of mycotic keratitis caused by Lasiodiplodia theobromae in a 60-year-old man with a history of ocular trauma with vegetable matter. Ophthalmological assessment with slit-lamp and microbiological evaluation of the corneal ulcer by conventional microbiological techniques were performed. Mycology study of the corneal scraping showed the presence of fungal filaments and the isolate was identified as Lasiodiplodia theobromae. Patient was treated with natamycin 5% and fluconazole 0.2% for 37 days. The infection was controlled but the corneal scars required a cornea transplant. This is the first case of keratitis by Lasiodiplodia theobromae in Paraguay. Difficulties in the management of these cases, which often requires surgical procedures, are discussed.
authors: Margarita
authors: M
authors: Samudio
authors: Florentina
authors: F
authors: Laspina
authors: Norma
authors: N
authors: Fariña
authors: Alicia
authors: A
authors: Franco
authors: Herminia
authors: H
authors: Mino de Kaspar
authors: Gustavo
authors: G
authors: Giusiano
mesh_terms: D001203:Ascomycota / Q000145:classification / Q000302:isolation & purification*; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000188:drug therapy; D015725:Fluconazole / Q000627:therapeutic use; D024841:Fluoroquinolones / Q000627:therapeutic use; D006801:Humans; D007634:Keratitis / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D000077266:Moxifloxacin
chemical_list: D024841:Fluoroquinolones; D015725:Fluconazole; D000077266:Moxifloxacin