Mochizuki Kiyofumi, Nishida Takashi, Murata Kazuhiro, Ishida Kyoko, Sunada Atsuko, Asari Seishi, Ohkusu Kiyofumi, Tanaka Kazuaki
Department of Ophthalmology, Gifu University, Graduate School of Medicine, Gifu, Japan.
Department of Ophthalmology, Gifu University, Graduate School of Medicine, Gifu, Japan.
J Infect Chemother. 2017 Sep;23(9):651-654. doi: 10.1016/j.jiac.2017.03.005. Epub 2017 Apr 25.
We describe an 82-year-old male farmer who had diabetes mellitus with no history of ocular trauma by soil or plants and who developed a corneal infection due to a fungus. The organism was identified as Roussoella solani based on both the morphological characteristics and phylogenetic analysis using LSU and ITS nrDNA sequences. The sexual stage of R. solani is described and illustrated for the first time. The patient was treated successfully with a combination of topical and systemic voriconazole and micafungin. This case is the first report of keratomycosis caused by R. solani.
我们描述了一位82岁的男性农民，他患有糖尿病，无土壤或植物造成的眼外伤史，因真菌感染角膜。根据形态特征以及使用LSU和ITS nrDNA序列的系统发育分析，该病原体被鉴定为茄丝核菌。首次描述并说明了茄丝核菌的有性阶段。患者通过局部和全身使用伏立康唑及米卡芬净联合治疗成功康复。该病例是茄丝核菌引起角膜真菌病的首例报告。
