[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

Abstract

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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