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CASE REPORT
Year : 2018  |  Volume : 66  |  Issue : 1  |  Page : 137-140

Ocular infections caused by Scedosporium apiospermum: A case series


1 Department of Cornea and Refractive Surgery, Aravind Eye Hospital, Puducherry, India
2 Department of Microbiology, Aravind Eye Hospital, Puducherry, India
3 Department of Vitreo Retina Services, Aravind Eye Hospital, Puducherry, India

Correspondence Address:
Dr. Prabu Baskaran
Department of Vitreo-Retina Services, Aravind Eye Hospital, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_524_17

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The aim of our retrospective study is to report a case series of ocular infections caused by a rare fungus, Scedosporium apiospermum, in a South Indian population. Thirteen cases of culture-positive S. apiospermum infections diagnosed between January 2011 and March 2016 were included in this study. The parameters evaluated were predisposing factors, treatment and final clinical outcome. The most common mode of presentation was keratitis (84.6%) followed by sclerokeratitis (15.3%). The predisposing factors involved were unspecified foreign body injury (30.7%), organic matter injury (15.3%), uncontrolled diabetes (7.6%), and recent manual small-incision cataract surgery (7.6%). Five cases (38.46%) had no predisposing factor. Of the 11 keratitis cases, nine (69.2%) responded well to combination medical therapy while one case (7.6%) required therapeutic keratoplasty. One case was lost to follow-up. Both cases which presented with sclerokeratitis showed no response to medico-surgical treatment progressing to panophthalmitis and evisceration.


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