Fatema Asi MD, Loay Daas MD, Arne Viestenz MD, Berthold Seitz MD
{"title":"Medical and surgical lessons learned from a severe case of Fusarium solani keratitis","authors":"Fatema Asi MD, Loay Daas MD, Arne Viestenz MD, Berthold Seitz MD","doi":"10.1016/j.jcro.2017.12.001","DOIUrl":null,"url":null,"abstract":"<div><p>This report explores the appropriate diagnostic and therapeutic measures for a complicated case of severe <em>Fusarium solani</em><span><span> keratitis resulting from a delayed diagnosis. </span>Confocal microscopy<span>, polymerase chain reaction<span>, microbiologic, and pathologic tests were used to diagnose and define the pathogen. In this case of </span></span></span><em>F solani</em><span><span> keratitis, there was a chance that the eye would have to be enucleated. This was prevented in this patient by intensive medical and surgical care comprising 3 therapeutic keratoplasty<span> surgeries with increasing graft size, 3 pars plana vitrectomies, 2 </span></span>amniotic membrane<span><span> transplantations, 27 anterior chamber washings with </span>antifungal medications<span>, and 1 corneal crosslinking surgery.</span></span></span></p></div>","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"6 2","pages":"Pages 15-18"},"PeriodicalIF":0.0000,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcro.2017.12.001","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JCRS Online Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214167718300024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 2
Abstract
This report explores the appropriate diagnostic and therapeutic measures for a complicated case of severe Fusarium solani keratitis resulting from a delayed diagnosis. Confocal microscopy, polymerase chain reaction, microbiologic, and pathologic tests were used to diagnose and define the pathogen. In this case of F solani keratitis, there was a chance that the eye would have to be enucleated. This was prevented in this patient by intensive medical and surgical care comprising 3 therapeutic keratoplasty surgeries with increasing graft size, 3 pars plana vitrectomies, 2 amniotic membrane transplantations, 27 anterior chamber washings with antifungal medications, and 1 corneal crosslinking surgery.