title: Colletotrichum truncatum species complex: Treatment considerations and review of the literature for an unusual pathogen causing fungal keratitis and endophthalmitis.
abstract: We present a case of Colletotrichum truncatum species complex fungal keratitis and endophthalmitis in an 87-year-old immunocompetent male in whom oral triazole antifungals were contraindicated. The patient had recently returned from 4 months in Jamaica with a one month history of progressively increasing pain and inflammation in his left eye. Corneal samples grew a filamentous fungus and internal transcribed spacer sequencing polymerase chain reaction confirmed the presence of C. truncatum species complex. Samples showed no microbial growth.
authors.affiliation: Queen's University School of Medicine, 80 Barrie Street, Kingston, Canada K7L 3N6.
authors.forename: Victoria
authors.initials: V
authors.lastname: Squissato
authors.affiliation: University of Toronto Department of Ophthalmology & Vision Sciences, St. Michael's Hospital, 30 Bond Street, Toronto, Canada M5B 1W8 ; Ophthalmic Pathology Laboratory, Li Ka Shing Knowledge Institute, 30 Bond Street, Toronto, Canada M5B 1W8.
authors.forename: Yeni H
authors.initials: YH
authors.lastname: Yucel
authors.affiliation: Public Health Laboratories, Public Health Ontario, University of Toronto Department of Laboratory Medicine and Pathobiology, The Hospital for Sick Children Division of Microbiology, 555 University Avenue, Toronto, Canada M5G 1×8.
authors.forename: Susan E
authors.initials: SE
authors.lastname: Richardson
authors.affiliation: University of Toronto Department of Ophthalmology & Vision Sciences, St. Michael's Hospital, 30 Bond Street, Toronto, Canada M5B 1W8.
authors.forename: Alaa
authors.initials: A
authors.lastname: Alkhotani
authors.affiliation: University of Toronto Department of Ophthalmology & Vision Sciences, St. Michael's Hospital, 30 Bond Street, Toronto, Canada M5B 1W8.
authors.forename: David T
authors.initials: DT
authors.lastname: Wong
authors.affiliation: University of Toronto Department of Ophthalmology & Vision Sciences, St. Michael's Hospital, 30 Bond Street, Toronto, Canada M5B 1W8.
authors.forename: Navdeep
authors.initials: N
authors.lastname: Nijhawan
authors.affiliation: University of Toronto Department of Ophthalmology & Vision Sciences, St. Michael's Hospital, 30 Bond Street, Toronto, Canada M5B 1W8.
authors.forename: Clara C
authors.initials: CC
authors.lastname: Chan
keywords: Colletotrichum; Colletotrichum truncatum; Fungal endophthalmitis; Fungal keratitis; Infection; Treatment