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Postoperative keratitis due to Paecilomyces: a rare pediatric case
Ebru Toker1, Nihan Ziyade2, Serkan Atici3
1Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology, Pendik, Istanbul, Turkey.
The Pan African Medical Journal
|February 4, 2017
Summary
Recent childhood fungal infections like Paecilomyces keratitis are difficult to diagnose and treat. This case highlights a rare, treatment-resistant infection in an immunocompetent child, emphasizing the need for prompt fungal diagnosis.
Area of Science:
- Ophthalmology
- Mycology
- Pediatric Infectious Diseases
Background:
- Fungal keratitis, particularly from unusual agents like Paecilomyces, is an increasing concern in pediatric populations.
- Diagnosis and treatment of Paecilomyces keratitis are challenging, often leading to poor visual outcomes.
Observation:
- A rare case of Paecilomyces keratitis in an immunocompetent child is presented.
- The infection was unresponsive to standard antifungal treatment with amphotericin B.
Findings:
- Prompt diagnosis via corneal culture on fungal media (e.g., Sabouraud glucose neopeptone agar) is crucial.
- Management required a multidisciplinary approach involving ophthalmology, microbiology, and pediatric infectious diseases specialists.
Implications:
- Physicians should maintain a high index of suspicion for fungal keratitis, especially in children with predisposing factors.
- Increased awareness of fungal keratitis caused by less common pathogens is necessary for timely and effective intervention.
