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Ocular basidiobolomycosis - Rare presentation: A case report.

Vasant Baradkar¹, Nirjhar Chatterjee¹, Jayanthi S Shastri¹

¹Department of Microbiology, TNMC and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.

Indian Journal of Pathology & Microbiology

|April 23, 2020

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Basidiobolus ranarum rarely causes eye infections, but this case highlights its potential for corneal abscess after injury. Early diagnosis and treatment are crucial for better outcomes in these uncommon fungal infections.

Area of Science:

Ophthalmology
Medical Mycology

Background:

Basidiobolus ranarum is an uncommon cause of human infections, typically affecting the gastrointestinal and subcutaneous tissues.
Ocular infections due to Basidiobolus ranarum are exceedingly rare, posing diagnostic challenges.

Observation:

A case of a 21-year-old male with a corneal abscess in the right eye following a welding injury is presented.
Initial examination revealed fungal hyphae on KOH mount.
Fungal culture confirmed the presence of Basidiobolus ranarum.

Findings:

The patient experienced visual loss and pain due to the corneal abscess.
Treatment involved topical natamycin, oral ketoconazole, and a total corneal transplant.

Implications:

Keywords:

Basidiobolus ranarum corneal ulcer ocular basidiobolomycosis

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This case highlights the importance of considering B. ranarum in the differential diagnosis of infectious corneal abscesses, especially after ocular trauma.
Awareness among mycology laboratories is essential for accurate diagnosis and improved patient management of rare fungal keratitis.
Prompt and appropriate antifungal therapy alongside surgical intervention can improve outcomes in B. ranarum-induced ocular infections.