Department of Microbiology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Ophthalmology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Med Microbiol. 2020 Jul-Dec;38(3 & 4):472-474. doi: 10.4103/ijmm.IJMM_20_399.
We hereby report a successfully salvaged eye due to mycotic keratitis by Cylindrocarpon lichenicola in a 60-year-old female from Kasaragod (Kerala). The patient came with a history of pain, photophobia and decreased vision of the right eye. The microbiological investigations of the corneal scraping revealed C. lichenicola. C. lichenicola is a soil saprophyte. Since the ulcer worsened paracentesis followed by therapeutic keratoplasty and adjunct therapy with natamycin drops, voriconazole drops and oral ketoconazole was given. We stress that evidence-based timely medical and surgical intervention helped in the restoration of the vision in an infected eye.
我们在此报告一例 60 岁女性因黎氏外瓶霉（Cylindrocarpon lichenicola）引起的真菌性角膜炎成功获救的病例。该患者右眼出现疼痛、畏光和视力下降的症状。角膜刮片的微生物学检查显示为黎氏外瓶霉。黎氏外瓶霉是一种土壤腐生菌。由于溃疡恶化，我们进行了前房穿刺术，随后进行了治疗性角膜移植术，并联合使用那他霉素滴眼液、伏立康唑滴眼液和口服酮康唑进行辅助治疗。我们强调，及时进行基于证据的医学和手术干预有助于恢复感染眼的视力。
