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Curvularia dacryocystitis: report of two cases
Punita Kumari Sodhi1, Ravinder Kaur
1Maulana Azad Medical College, allied Guru Nanak Eye Centre, New Delhi, India
Orbit (Amsterdam, Netherlands)
|June 5, 2002
Summary
Two cases of ocular mycosis caused by Curvularia fungus were reported, affecting only the lacrimal sac and causing dacryocystitis in non-immunocompromised individuals. Oral fluconazole showed a good therapeutic response for this rare fungal infection.
Area of Science:
- Ophthalmology
- Mycology
Background:
- Ocular mycosis can present in various forms.
- The genus Curvularia is a known, albeit uncommon, cause of fungal infections.
- Infections are typically associated with trauma or compromised immunity.
Purpose of the Study:
- To report two unique cases of ocular mycosis.
- To describe Curvularia fungal infection localized to the lacrimal sac.
- To discuss treatment outcomes for this rare presentation.
Main Methods:
- Case report of two patients with lacrimal sac mycosis.
- Clinical presentation and diagnosis of fungal infection.
- Treatment with oral fluconazole and outcome assessment.
Main Results:
- Two non-immunocompromised patients presented with acute to chronic dacryocystitis.
- Infection was exclusively localized to the lacrimal sac.
- Both cases showed a good therapeutic response to oral fluconazole (minimum two weeks).
Conclusions:
- Curvularia species can cause lacrimal sac mycosis presenting as dacryocystitis.
- This presentation appears rare, especially in non-immunocompromised hosts.
- Oral fluconazole is a recommended treatment option for such infections.