Endophthalmitis after Lasiodiplodia theobromae corneal abscess
- PMID: 9143896
- DOI: 10.1007/BF00941769
Endophthalmitis after Lasiodiplodia theobromae corneal abscess
Abstract
Background: Lasiodiplodia theobromae is an exceptional cause of human keratomycosis.
Patient: We treated a 53-year-old man with fungal keratitis, which had been treated with topical betamethasone and gentamicin for 1 month, and endophthalmitis due to Lasiodiplodia theobromae. Despite intensive systemic, topical and intravitreal fungicidal treatment, enucleation had to be performed.
Results: The vitreous aspirate cultures were negative as of the second amphotericin intravitreal injection. However, histology revealed that the fungus was present in the cornea, ciliary body, iris and retina.
Conclusion: The use of topical steroids may worsen the outcome of the infection.