Abstract
Ocular sporotrichosis is a relatively rare infection. We report a case of right ocular sporotrichosis in a 35 year-old pregnant woman at 30-week period of gestation with underlying retroviral disease on highly active antiretroviral therapy (HAART). She presented with one month history of unilateral eye redness and itchiness. Her symptoms persisted despite treatment for conjunctivitis. She was subsequently referred to ophthalmology clinic and a diagnosis of ocular sporotrichosis was made based on the culture of excised conjunctival tissues. Her symptoms improved after she was treated with fluconazole eye drops and intralesional amphotericin B. This case highlights the importance of early referral to ophthalmology in the case of unilateral eye redness in a high risk patient with history of exposure to infected cat prior to presentation.
 Bangladesh Journal of Medical Science Vol.20(2) 2021 p.453-455
Highlights
Sporotrichosis is a chronic subcutaneous mycotic infection caused by the Sporothrix schenckii
History of exposure to sick cat is highly suggestive of sporotrichosis, a thorough and proper history taking is vital to make an accurate diagnosis
We demonstrated a case of ocular sporotrichosis in a retroviral disease positive pregnant lady on highly active antiretroviral therapy (HAART)
Summary
Sporotrichosis is a chronic subcutaneous mycotic infection caused by the Sporothrix schenckii. Prior to visit at our clinic, she had twice visited primary care doctors with similar presentation and was treated as bacterial conjunctivitis She was treated with chloramphenicol eye drops and ointment, her symptoms persisted. The fungal culture proved the presence of sporothrix schenckii while histopathology finding revealed chronic granulomatous inflammation which correlated with the disease In view of her pregnancy status, she was treated with intralesional amphotericin B 5mg single dose and fluconazole eye drop 4hourly. Her symptoms improved gradually since and she was follow-up at ophthalmology clinic until recovery. She delivered a healthy baby boy without any other complications
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
