Mycotic Keratitis Caused by Fusarium solani sensu stricto (FSSC5): A Case Series


Boral H., van Diepeningen A., ERDEM E., YAĞMUR M., de Hoog G. S., Ilkit M., ...Daha Fazla

MYCOPATHOLOGIA, cilt.183, sa.5, ss.835-840, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 183 Sayı: 5
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1007/s11046-018-0280-7
  • Dergi Adı: MYCOPATHOLOGIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.835-840
  • Anahtar Kelimeler: Amphotericin B, Chlorhexidine gluconate, Keratomycosis, Soft contact lenses, Voriconazole, FUNGAL KERATITIS, MALDI-TOF, VORICONAZOLE, DIAGNOSIS, MANAGEMENT, NATAMYCIN
  • Çukurova Üniversitesi Adresli: Evet

Özet

Owing to a lack of appropriate diagnostic and therapeutic approaches for mycotic keratitis, approximately one million cases of preventable corneal blindness are reported each year. The number of keratitis cases due to infection with Fusarium is increasing significantly worldwide, many of which are not treated adequately and in a timely manner due to frequent misdiagnosis. In the current report, we describe three cases of keratitis caused by Fusarium solani sensu stricto (FSSC5) from Turkey and The Netherlands, following ocular trauma. The etiological agent of keratitis, FSSC5, identified by sequencing of the partial tef1- gene, exhibited low minimum inhibitory concentrations (MICs) of 1 mu g/mL for amphotericin B and high MICs above the published epidemiological cutoff values for voriconazole (8 mu g/mL). Patients were successfully treated with topical amphotericin B and voriconazole with complete recovery.