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Endophthalmitis caused by Fusarium: An emerging problem in patients with corneal trauma. A case series

José Luis Barrios Andrés1, Leyre Mónica López-Soria2, Ana Alastruey Izquierdo3

  • 1Microbiology Service, Araba University Hospital, Vitoria-Gasteiz, Araba, Spain.

Revista Iberoamericana De Micologia
|May 5, 2018
PubMed
Abstract

Insights

Fusarium endophthalmitis, a rare fungal infection, presents a poor prognosis. Early multidisciplinary intervention is crucial for managing this ophthalmologic emergency, especially in immunosuppressed individuals.

Area of Science:

  • Ophthalmology
  • Mycology
  • Infectious Diseases

Background:

  • Fusarium species are significant etiological agents of exogenous endophthalmitis, particularly when epithelial barriers are compromised.
  • Immunosuppression increases the risk of emerging Fusarium-related fungal infections, even in temperate climates.

Observation:

  • This case series presents three instances of endophthalmitis caused by Fusarium solani and Fusarium oxysporum.
  • Patients were diagnosed between 2009 and 2014 across two distinct health regions.

Findings:

  • Microscopic identification and molecular confirmation (EFα and ITS sequencing) were used for Fusarium species identification.
  • Antifungal susceptibility testing was performed using the EUCAST broth dilution method.
  • Two out of three patients experienced poor outcomes, progressing to phthisis bulbi despite treatment.

Implications:

  • Rapid, multidisciplinary management is essential for suspected Fusarium endophthalmitis due to its generally poor prognosis.
  • Early clinical diagnosis and efficient management strategies are critical for this ophthalmologic emergency.
Keywords:
Contact lensesCorneal traumaEndoftalmitisEndophthalmitisFusariumFusarium oxysporumFusarium solaniFusarium treatmentKeratoplastyLentes de contactoQueratoplastiaTratamiento de FusariumTraumatismo corneal

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