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Aspergillus flavus keratitis

G N Chin, N L Goodman

    Annals of Ophthalmology
    |April 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    This case report details a rare and destructive Aspergillus flavus corneal ulcer resistant to standard antifungal treatments. Prompt surgical intervention is crucial for invasive fungal keratitis unresponsive to medication.

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    Area of Science:

    • Ophthalmology
    • Mycology
    • Infectious Diseases

    Background:

    • Fungal keratitis, particularly from Aspergillus flavus, is uncommon but can lead to severe corneal damage.
    • Standard antifungal agents like amphotericin B, pimaricin, and clotrimazole may not always be effective.

    Observation:

    • A case of Aspergillus flavus corneal ulcer is presented.
    • The infection proved refractory to multiple topical and systemic antifungal therapies.
    • The affected eye progressed to phthisis bulbi, indicating complete loss of ocular function.

    Findings:

    • Aspergillus flavus can cause destructive corneal ulcers resistant to conventional antifungal treatments.
    • Sensitivity testing of the isolated fungus is essential for guiding effective therapy.

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  • Late-stage or deep stromal infections may necessitate aggressive surgical management.
  • Implications:

    • Early diagnosis and appropriate antifungal sensitivity testing are vital for managing fungal keratitis.
    • Prompt surgical intervention, including excisional keratoplasty, is indicated for treatment-resistant or invasive fungal corneal infections.
    • Aggressive management strategies are required to prevent vision loss in severe cases of fungal keratitis.