Endophthalmitis after Lasiodiplodia theobromae corneal abscess

  • Vincent M. Borderie
  • Tristan M. Bourcier
  • Jean-Louis P. Poirot
  • Marie Baudrimont
  • Paul Prudhomme de Saint-Maur
  • Laurent Laroche
Short Communication

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 toLasiodiplodia 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.

Keywords

Public Health Steroid Retina Gentamicin Amphotericin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gonawerdena SA, Ranasinghe KP, Arseculeratne SN, Seimon CR, Ajello L (1994) Survey of mycotic and bacterial keratitis in Sri Lanka. Mycopathologia 127:77–81Google Scholar
  2. 2.
    Laverde S, Moncada LH, Restrepo A, Vera CL (1973) Mycotic keratitis: 5 cases caused by unusual fungi. Sabouraudia 11:119–123Google Scholar
  3. 3.
    Puttanna ST (1967) Mycotic infections of the cornea. J All India Ophthalmol Soc 15:11–18Google Scholar
  4. 4.
    Rebell G, Forster RK (1976)Lasiodiplodia theobromae as a cause of keratomycoses. Sabouraudia 14:155–170Google Scholar
  5. 5.
    Thomas PA, Garrison RG, Jansen T (1991) Intrahyphal byphae in corneal tissue from a case of keratitis due toLasiodiplodia theobromae. J Med Vet Mycol 29:263–267Google Scholar
  6. 6.
    Valenton MI, Rinaldi MG, Butler EE (1975) A corneal abscess due to the fungusBotryodiplodia theobromae. Can J Ophthalmol 10:416–418Google Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Vincent M. Borderie
    • 1
  • Tristan M. Bourcier
    • 1
  • Jean-Louis P. Poirot
    • 2
  • Marie Baudrimont
    • 3
  • Paul Prudhomme de Saint-Maur
    • 3
  • Laurent Laroche
    • 1
  1. 1.Service d'OphtalmologieHôpital Saint AntoineParis Cedex 12France
  2. 2.Service de Parasitologie-MycologieHôpital Saint AntoineParisFrance
  3. 3.Service d'Anatomie PathologiqueHôpital Saint AntoineParisFrance

Personalised recommendations