Related Experiment Videos
Endophthalmitis after Lasiodiplodia theobromae corneal abscess
V M Borderie1, T M Bourcier, J L Poirot
1Service d'Ophtalmologie, Hôpital Saint Antoine, Paris, France.
Background:
Lasiodiplodia theobromae is an exceptional cause of human keratomycosis.
Patient:
We treated a 53-year-old man with fungal keratitis, which had been treated with topical betamethasone and gentamicin for 1 month, and endophthalmitis due to Lasiodiplodia theobromae. Despite intensive systemic, topical and intravitreal fungicidal treatment, enucleation had to be performed.
Results:
The vitreous aspirate cultures were negative as of the second amphotericin intravitreal injection. However, histology revealed that the fungus was present in the cornea, ciliary body, iris and retina.
Conclusion:
The use of topical steroids may worsen the outcome of the infection.