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Updated: Aug 20, 2026

Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
[Efficiency of voriconazole in fungal keratitis caused by candida albicans]
J M Granados1, N Puerto, M J Carrilero
1Servicio de Oftalmología, Complejo Hospitalario Universitario de Albacete (SESCAM), Spain. jgranadosm@ono.com
Case Report:
A 70-year-old woman, with a history of diabetes and persistent corneal ulceration, developed a severe keratitis caused by Candida albicans. It evolved rapidly to corneal perforation in spite of treatment with topical amphotericin B and oral itraconazole. An amniotic membrane transplant was performed as an emergency, associated with systemic administration of voriconazole. The infection was solved successfully, although the patient needed a penetrating keratoplasty to restore the corneal transparency.
Discussion:
Fungal keratitis caused by Candida albicans usually follows an aggressive course and may simulate a bacterial aetiology. Voriconazole is a new antifungal drug that appears to be very effective in the management of ocular infections caused by many filamentous and levaduriform fungi.
Insights
A severe Candida albicans fungal keratitis case highlights voriconazole
Area of Science:
- Ophthalmology
- Mycology
- Infectious Diseases
Background:
- Candida albicans fungal keratitis can rapidly progress to corneal perforation despite standard treatments.
- Effective management of severe fungal keratitis requires prompt and aggressive therapeutic strategies.
Observation:
- A 70-year-old woman with diabetes and prior corneal ulceration developed severe Candida albicans keratitis.
- Initial treatment with topical amphotericin B and oral itraconazole failed, leading to corneal perforation.
Findings:
- Emergency amniotic membrane transplant combined with systemic voriconazole successfully resolved the fungal infection.
- Despite successful infection control, penetrating keratoplasty was necessary to restore corneal transparency.
Implications:
- Systemic voriconazole demonstrates significant efficacy in managing severe ocular fungal infections, including those caused by Candida albicans.
- This case underscores the aggressive nature of Candida keratitis and the potential need for advanced surgical interventions alongside novel antifungal therapies.
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