Advertisement

 

 

Penicillium keratitis in a HIV-infected patient.

Penicillium keratitis in a HIV-infected patient.
Author Information (click to view)

Anutarapongpan O, Thanathanee O, Suwan-Apichon O,


Anutarapongpan O, Thanathanee O, Suwan-Apichon O, (click to view)

Anutarapongpan O, Thanathanee O, Suwan-Apichon O,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

BMJ case reports 2016 08 172016() doi 10.1136/bcr-2016-216139

Abstract

A 36-year-old HIV-positive man presented with symptoms of redness, blurred vision and foreign body sensation in his right eye for 3 months. The slit lamp examination revealed deep stromal infiltration with a feathery margin in an otherwise minimal anterior chamber reaction. A corneal scraping was negative. Confocal microscopy demonstrated an abnormal large hyper-reflective oval shape in the corneal stroma. Corneal infiltration did not show improvement after topical, intrastromal and intracameral antifungal treatment. Therapeutic penetrating keratoplasty was performed to eradicate the infection. Corneal button culture and histopathological results confirmed the diagnosis of Penicillium marneffei keratitis. No recurrent infection occurred after corneal transplantation. This appears to be the first report of P. marneffei keratitis in an HIV-infected patient. Although it is an uncommon condition, it should be one of the differential diagnoses in an HIV-infected patient presenting with keratitis.

Submit a Comment

Your email address will not be published. Required fields are marked *

14 − 9 =

[ HIDE/SHOW ]