Acanthamoeba keratitis associated with fungal keratitis

Am J Ophthalmol. 2001 Apr;131(4):508-9. doi: 10.1016/s0002-9394(00)00827-8.

Abstract

Purpose: To report fungal infection complicating Acanthamoeba keratitis.

Methods: Case report. A 45-year-old woman with contact lens-related bilateral Acanthamoeba keratitis developed corneal ulcer, corneal perforation, and mature cataract in the left eye, which was managed by penetrating keratoplasty, lensectomy, and vitrectomy.

Results: Histopathologic examination of the keratoplasty specimen from the left eye revealed extensive lamellar stromal necrosis with the coexistence of both empty cysts and branching hyphae. Cultures from the keratoplasty specimen grew Scedosporium apiospermum.

Conclusion: Keratomycosis caused by S. apiospermum may complicate protracted Acanthamoeba keratitis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acanthamoeba / isolation & purification
  • Acanthamoeba Keratitis / microbiology*
  • Acanthamoeba Keratitis / pathology
  • Acanthamoeba Keratitis / surgery
  • Animals
  • Cataract Extraction
  • Contact Lenses, Extended-Wear / adverse effects
  • Cornea / microbiology*
  • Cornea / parasitology*
  • Cornea / pathology
  • Cornea / surgery
  • Corneal Ulcer / microbiology*
  • Corneal Ulcer / pathology
  • Corneal Ulcer / surgery
  • Eye Infections, Fungal* / etiology
  • Eye Infections, Fungal* / pathology
  • Eye Infections, Fungal* / surgery
  • Female
  • Humans
  • Keratoplasty, Penetrating
  • Middle Aged
  • Mycetoma* / etiology
  • Mycetoma* / pathology
  • Mycetoma* / surgery
  • Scedosporium / isolation & purification*
  • Vitrectomy