Abstract

Purpose: To report a case of Scedosporium apiospermum keratitis. Method: A case report and literature review Results: A 41-year-old male presented with redness, tearing and pain of left eye after a minor injury. Microbiologic examination of the corneal scrapings revealed Scedosporium apiospermum. Partial clinical improvement was achieved with hourly topical natamycin. Superficial keratectomy was then performed and topical amphotericin B was added every 2 hours. The epithelial defect and stromal infiltration gradually resolved. The best-corrected visual acuity was 20/50 three months after discharge. Conclusion: Accurate detection and prompt antifungal treatment with adjuvant surgical intervention may preserve ocular integrity and visual acuity in patients with Scedosporium apiospermum keratitis

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