Postoperative keratitis due to Paecilomyces: a rare pediatric case

  • Ebru Toker
  • Nihan Ziyade
  • Serkan Atici
  • Kepenekli Kadayifçi Eda
  • Özden Türel
  • Demet Toprak
  • Merih Oray
  • Nilgün Cerikcioglu
  • Ahmet Soysal
  • Mustafa Bakir

Abstract

Fungal infections like Paecilomyces keratitis have emerged in childhood recently. The diagnosis and treatment of Paecilomyces keratitis is difficult and the outcome is usually poor. Corneal culture should be performed on fungal media such as Sabouraud glucose neopeptone agar (SDA) as soon as possible for diagnosis. We report a rare case of Paecilomyces keratitis in an immunocompetent child, which was unresponsive to amphotericin B. The case was managed by a multidisciplinary approach involving the departments of ophthalmology, microbiology and pediatric infectious diseases. We want to draw attention once again that fungal keratitis caused by unusual agents are increasing. Physicians should consider fungal causes of keratitis, in patients with some predisposing factors like ocular surgery and prolonged use of topical corticosteroids.

The Pan African Medical Journal 2016;24

Author Biographies

Ebru Toker
Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology, Pendik, Istanbul, Turkey
Nihan Ziyade
The Council of Forensic Medicine, Department of Microbiology, Istanbul, Turkey
Serkan Atici
Marmara University Medical Faculty, Department of Pediatric Infectious Diseases, Pendik, Istanbul, Turkey
Kepenekli Kadayifçi Eda
Marmara University Medical Faculty, Department of Pediatric Infectious Diseases, Pendik, Istanbul, Turkey
Özden Türel
Bezmialem Vakif University, Department of Pediatric Infectious Diseases, Istanbul, Turkey
Demet Toprak
Boston Childrens Hospital, Department of Pediatric/Urgent Care, USA
Merih Oray
Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology, Pendik, Istanbul, Turkey
Nilgün Cerikcioglu
Marmara University Medical Faculty, Department of Microbiology, Istanbul, Turkey
Ahmet Soysal
Marmara University Medical Faculty, Department of Pediatric Infectious Diseases, Pendik, Istanbul, Turkey
Mustafa Bakir
Marmara University Medical Faculty, Department of Pediatric Infectious Diseases, Pendik, Istanbul, Turkey
Published
2016-10-04
Section
Articles

Journal Identifiers


eISSN: 1937-8688