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A rare case of Phialemonium obovatum keratitis

Emma C Davies1,2, Mary K Daly1,3,2, Donna Siracuse-Lee1,3

  • 1Department of Ophthalmology, VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA, USA.

American Journal of Ophthalmology Case Reports
|March 6, 2018
PubMed
Abstract

Insights

A rare case of Phialemonium obovatum fungal keratitis, following a corneal laceration, was successfully treated with topical voriconazole. Early antifungal treatment led to excellent visual acuity, preventing further complications.

Area of Science:

  • Ophthalmology
  • Mycology

Background:

  • Fungal keratitis is an infection of the cornea.
  • Phialemonium obovatum is a rare cause of fungal keratitis.

Purpose of the Study:

  • To report a rare case of Phialemonium obovatum fungal keratitis.
  • To highlight the successful treatment and visual outcome.

Main Methods:

  • A patient with a corneal laceration from moldy plaster developed fungal keratitis.
  • Treatment involved topical voriconazole and close follow-up.

Main Results:

  • The active keratitis resolved with topical voriconazole.
  • A stromal scar formed, and the final visual acuity was 20/20.

Conclusions:

  • Phialemonium obovatum keratitis is exceptionally rare.
  • Early antifungal treatment can prevent corneal perforation and preserve vision.
Keywords:
Corneal ulcerFungal keratitisPhialemonium obovatum

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