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., ...More

MYCOPATHOLOGIA, vol.183, no.5, pp.835-840, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 183 Issue: 5
  • Publication Date: 2018
  • Doi Number: 10.1007/s11046-018-0280-7
  • Journal Name: MYCOPATHOLOGIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.835-840
  • Keywords: Amphotericin B, Chlorhexidine gluconate, Keratomycosis, Soft contact lenses, Voriconazole, FUNGAL KERATITIS, MALDI-TOF, VORICONAZOLE, DIAGNOSIS, MANAGEMENT, NATAMYCIN
  • Çukurova University Affiliated: Yes

Abstract

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.