More Than Tears in Your Eyes (Exophiala Jeanselmei Keratitis)

Cornea. 2002 Mar;21(2):230-1. doi: 10.1097/00003226-200203000-00023.

Abstract

Purpose: To describe a patient with Exophiala jeanselmei keratitis. METHODS.

Case report: One patient with persistent corneal infiltrate that developed several days after a minor ocular trauma from an onion slice.

Results: Culture plates from corneal scraping showed a growth of the yeast Exophiala jeanselmei, a rare causative agent of ocular infection.

Conclusions: Whenever a corneal abscess does not improve with the usual antibiotic treatment, a thorough ophthalmic history should be taken to determine whether there was a recent ocular trauma. If the trauma was caused by a plant material, the physician should raise the possibility of an unusual fungal infection.

Publication types

  • Case Reports

MeSH terms

  • Amphotericin B / administration & dosage
  • Anti-Infective Agents, Local / therapeutic use
  • Chlorhexidine / administration & dosage
  • Corneal Injuries
  • Drug Therapy, Combination / therapeutic use
  • Exophiala / isolation & purification*
  • Eye Infections, Fungal / diagnosis
  • Eye Infections, Fungal / drug therapy
  • Eye Infections, Fungal / microbiology*
  • Eye Injuries / microbiology
  • Female
  • Humans
  • Keratitis / diagnosis
  • Keratitis / drug therapy
  • Keratitis / microbiology*
  • Middle Aged
  • Mycoses / diagnosis
  • Mycoses / drug therapy
  • Mycoses / microbiology*
  • Natamycin / administration & dosage
  • Wounds, Nonpenetrating / microbiology

Substances

  • Anti-Infective Agents, Local
  • Amphotericin B
  • Natamycin
  • Chlorhexidine