Paecilomyces keratitis: a case report

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dc.contributor.authorChoudhury, Debapriya Dasen_US
dc.contributor.authorUbale, Milinden_US
dc.contributor.authorBaranwal, Rimjhimen_US
dc.contributor.authorNanoty, Vaibhavien_US
dc.contributor.authorPatel, Mayurien_US
dc.date.accessioned2025-05-12T11:41:43Z
dc.date.available2025-05-12T11:41:43Z
dc.date.issued2024-12
dc.description.abstractOcular trauma involving vegetative matter is the most common cause of keratitis in ophthalmic practice in India, with many cases resulting in fungal keratitis or corneal ulceration. Here, we present a case of fungal keratitis due to Paecilomyces lilacinus that was successfully managed with oral and topical antifungal therapy, avoiding surgical intervention. The patient, a female, presented with a corneal abscess, conjunctival congestion, and persistent pain in her right eye after sustaining an ocular injury from vegetative matter. Based on the clinical signs, a provisional diagnosis of fungal keratitis was made, and treatment with 5% natamycin eye drops was initiated. Potassium hydroxide mount findings indicated fungal hyphae, leading to the addition of oral voriconazole due to suspected deuteromycosis. Fungal culture confirmed the presence of P. lilacinus. Gradually, the patient improved with antifungal therapy over a month without surgical intervention.en_US
dc.identifier.affiliationsDepartment of Microbiology, MGM Medical College, MGM Institute of Health Sciences (Deemed to be University), Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital, Thane, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital, Thane, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Microbiology, Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital, Thane, Maharashtra, Indiaen_US
dc.identifier.citationChoudhury Debapriya Das, Ubale Milind, Baranwal Rimjhim, Nanoty Vaibhavi, Patel Mayuri. Paecilomyces keratitis: a case report. MGM Journal of Medical Sciences. 2024 Dec; 11(4): 805-807en_US
dc.identifier.issn2347-7946
dc.identifier.issn2347-7962
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247734
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber4en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.4103/mgmj.mgmj_315_24en_US
dc.subjectFungal keratitisen_US
dc.subjectlaboratory diagnosisen_US
dc.subjectPaecilomycesen_US
dc.titlePaecilomyces keratitis: a case reporten_US
dc.typeJournal Articleen_US
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