Intense photophobia caused by Arthrographis kalrae in a contact lens-wearing patient

Abstract

Purpose: To report a case of Arthrographis kalrae keratitis and to note that its clinical manifestation resembles Acanthamoeba corneal infection.

Methods: Case report.

Results: The patient's keratitis was caused by A kalrae, a very rare soil fungus.

Conclusions: Arthrographis kalrae can cause a keratitis that manifests with severe photophobia and a slowly progressive corneal infiltrate whose symptoms can mimic Acanthamoeba. Our patient most likely acquired the fungus from exposure to soil and not from her contact lenses.