We report an atypical presentation of Beauveria bassiana keratitis which unusually presented in a 85-year-old patient with a corneal ulcer with an anterior segment inflammation and hypopyon. Despite negative culture and unspecific results from panfungal PCR-based sequencing, the patient was treated for a presumed fungal infection. Following clinical deterioration an emergency surgical intervention with apposition of a corneal patch was performed. Infection resolution was achieved following the introduction of systemic voriconazole to the topical one.
Keywords: Beauveria bassiana; Corneal ulcer; Fungal keratitis; Voriconazole.
© 2021 The Authors. Published by Elsevier B.V. on behalf of International Society for Human and Animal Mycology.