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Case Reports
. 2019 Dec 4:27:8-10.
doi: 10.1016/j.mmcr.2019.12.004. eCollection 2020 Mar.

Contact lens associated keratitis due to Tintelnotia destructans

Shu Jin Tan  1 , Mariyam Nure  1 , Dianne Gardam  1 , Charlotte McKnight  2 , Peter A Boan  1   3 , Benjamin M Clark  3
Affiliations
Case Reports

Contact lens associated keratitis due to Tintelnotia destructans

Shu Jin Tan et al. Med Mycol Case Rep. .

Abstract

We report the first case of Tintelnotia destructans associated keratitis in a contact lens wearer in Australia. Corneal scrape showed fungal elements on direct microscopy leading to a prompt diagnosis of fungal keratitis and early topical and systemic antifungal therapy. The isolate was eventually identified by ITS gene sequencing. This case highlights the importance of accurate identification and antifungal susceptibility testing for the management of fungal keratitis.

Keywords: Fungal keratitis; Tintelnotia; Voriconazole.

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Conflict of interest statement

There are none.

Figures

Fig. 1
Fig. 1
Slit lamp examination showing a corneal infiltrate.
Fig. 2
Fig. 2
Pycnidia of T.destructans using LPCB stain. Scale bar = 10 μm.
Fig. 3
Fig. 3
Growth of T.destructans on MEA after 7 days at 24 °C.
Fig. 4
Fig. 4
Optical coherence tomography done on day +37 showing focal corneal thinning.
See this image and copyright information in PMC

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