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Fonsecaea pedrosoi as a rare cause of acute conjunctival ulceration

Fatih Mehmet Adibelli1, Nilgun Karabicak2, Ali Akal1

  • 1Department of Ophthalmology, Harran University School of Medicine, Sanliurfa, Turkey.

Arquivos Brasileiros De Oftalmologia
|September 15, 2016
PubMed

Insights

A rare case of conjunctival ulceration caused by Fonsecaea pedrosoi, a fungus typically linked to chromoblastomycosis, was reported following ocular trauma. Prompt treatment with antifungal medications led to successful recovery.

Area of Science:

  • Ophthalmology
  • Mycology
  • Infectious Diseases

Background:

  • Ocular trauma can lead to various complications, including infections.
  • Fonsecaea pedrosoi is a fungus primarily known for causing chromoblastomycosis, a chronic fungal infection.

Observation:

  • A 30-year-old male presented with conjunctival ulceration, secretion, and pain three days after a perforating corneal injury.
  • Cultures from the conjunctival ulcer confirmed the presence of Fonsecaea pedrosoi.

Findings:

  • This case represents the first reported instance of Fonsecaea pedrosoi causing acute conjunctival ulceration.
  • The patient's conjunctival ulcer was effectively treated with a combination of amphotericin B, itraconazole, and fluconazole.

Implications:

  • This case highlights a rare but serious complication of contaminated ocular trauma.
  • Early diagnosis and appropriate antifungal therapy are crucial for managing Fonsecaea pedrosoi-induced conjunctival ulcers.

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