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Pythium insidiosum keratitis

D Murdoch1, D Parr

  • 1Department of Ophthalmology, Auckland Hospital, New Zealand.

Australian and New Zealand Journal of Ophthalmology
|May 1, 1997
PubMed
Summary
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Pythium insidiosum keratitis is a rare infection. This case, acquired from a hot pool in a temperate region, highlights the organism

Area of Science:

  • Ophthalmology
  • Medical Mycology
  • Infectious Diseases

Background:

  • Pythium insidiosum is an oomycete, often mistaken for a fungus.
  • It causes a rare but severe keratitis, typically in tropical/subtropical regions.
  • Diagnosis can be challenging due to difficulties in isolation.

Observation:

  • A unique case of Pythium insidiosum keratitis is presented.
  • The infection was acquired from a hot pool environment.
  • This represents the first reported case in a temperate climate zone.

Findings:

  • Pythium insidiosum is resistant to all antifungal treatments.
  • Surgical excision is the primary treatment modality.
  • Early diagnosis and intervention are crucial for visual outcomes.

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Implications:

  • Expands the known geographical distribution of Pythium insidiosum infections.
  • Highlights non-traditional sources of infection, like recreational water.
  • Emphasizes the need for alternative diagnostic and therapeutic strategies beyond antifungals.