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More than tears in your eyes (Exophiala jeanselmei keratitis)
Guy J Ben-Simon1, Irina S Barequet, Aaron Grinbaum
1Goldschleger Eye Institute, Sheba Medical Center, Tel Aviv University, Tel-Hashomer 52621, Israel. guybs@barak-online.net
Purpose:
To describe a patient with Exophiala jeanselmei keratitis. METHODS.
Case Report:
One patient with persistent corneal infiltrate that developed several days after a minor ocular trauma from an onion slice.
Results:
Culture plates from corneal scraping showed a growth of the yeast Exophiala jeanselmei, a rare causative agent of ocular infection.
Conclusions:
Whenever a corneal abscess does not improve with the usual antibiotic treatment, a thorough ophthalmic history should be taken to determine whether there was a recent ocular trauma. If the trauma was caused by a plant material, the physician should raise the possibility of an unusual fungal infection.