Keratomycosis with an unusual clinical manifestation--a case report

We report a case of keratomycosis which had recurrent, deep stromal infiltration and an endothelial plaque for half a year after the original corneal foreign body injury. The subject had an unusual clinical picture of deep corneal infiltration and later hair-like material growing from the endothelial plaque into the anterior chamber. Repeated corneal scrapings for smears and cultures all showed negative during the initial treatment. We tried anterior chamber paracentesis and endothelial aspiration and got a positive finding of Cladosporium infection. This case is presented because of the difficulty of diagnosis and management of fungal keratomycosis.