Endophthalmitis after Lasiodiplodia theobromae corneal abscess |
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| Authors: | Vincent M. Borderie Tristan M. Bourcier Jean-Louis P. Poirot Marie Baudrimont Paul Prudhomme de Saint-Maur Laurent Laroche |
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| Affiliation: | (1) Service d'Ophtalmologie, Hôpital Saint Antoine, 184 rue du Faubourg St. Antoine, F-75571 Paris Cedex 12, France;(2) Service de Parasitologie-Mycologie, Hôpital Saint Antoine, Paris, France;(3) Service d'Anatomie Pathologique, Hôpital Saint Antoine, Paris, France |
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| 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. |
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