Multidrug resistant Fusarium keratitis

Abstract

Case report: We report a case of keratitis in a female contact lens wearer, who developed a deep corneal abscess. The culture of a corneal biopsy scraping was positive for multiresistant Fusarium solani. The patient has a complicated clinical course and failed to respond to local and systemic antifungal treatment, requiring eye enucleation.

Conclusion: Fusarium keratitis may progress to severe endophthalmitis. Clinical suspicion is paramount in order to start antifungal therapy without delay. Therapy is complex due to the high resistance of this organism to usual antifungal drugs.

Keywords: Contact lens; Endoftalmitis; Endophthalmitis; Fusarium solani; Keratitis; Lentes de contacto; Queratitis.