Fungal keratitis due to Rhodotorula glutinis: A Case Report

Detalhes bibliográficos
Autor(a) principal: Souza Oliveira, Renato
Data de Publicação: 2021
Outros Autores: Albuquerque, Aline, Barbosa de Sousa, Luciene
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48560/rspo.24659
Resumo: We describe a case of mycotic keratitis involving a rare fungus and review the literature on Rhodotorula keratitis. A 40-year-old man was struck in the right eye with a tree branch and developed a corneal ulcer involving the anterior portion of the cornea. Cultures grew Rhodotorula glutinis. The patient was initially treated with topical amphotericin, but only improved with topical and intracameral voriconazole administration. The corneal infiltrate resolved, leaving an anterior stromal scar, and the patient’s best-corrected visual acuity was 20/60 in the involved eye. Cases of Rhodotorula keratitis can pose a challenge to the ophthalmologist, with the diagnosis and the treatment regimen, as this yeast may not respond well to commercially available drugs. We report a case of Rhodotorula keratitis that was only resolved with voriconazole. Our case rein- forces the importance of the early diagnosis and correct management of fungal keratitis involving this rare, but potentially damaging yeast.
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spelling Fungal keratitis due to Rhodotorula glutinis: A Case ReportÚlcera Corneana por Rhodotorula glutinis: Relato de CasoComunicações Curtas e Imagens em OftalmologiaWe describe a case of mycotic keratitis involving a rare fungus and review the literature on Rhodotorula keratitis. A 40-year-old man was struck in the right eye with a tree branch and developed a corneal ulcer involving the anterior portion of the cornea. Cultures grew Rhodotorula glutinis. The patient was initially treated with topical amphotericin, but only improved with topical and intracameral voriconazole administration. The corneal infiltrate resolved, leaving an anterior stromal scar, and the patient’s best-corrected visual acuity was 20/60 in the involved eye. Cases of Rhodotorula keratitis can pose a challenge to the ophthalmologist, with the diagnosis and the treatment regimen, as this yeast may not respond well to commercially available drugs. We report a case of Rhodotorula keratitis that was only resolved with voriconazole. Our case rein- forces the importance of the early diagnosis and correct management of fungal keratitis involving this rare, but potentially damaging yeast.Descrever um caso de um paciente de 40 anos que, após um trauma no olho direito por material vegetal, evoluiu com úlcera infecciosa de córnea. As culturas da lesão identificaram Rhodotorula glutinis. Inicialmente tratado com anfotericina tópica o paciente só obteve melhorar com o uso de voriconazol por via tópica e intracameral. O infiltrado corneano evoluiu bem, deixando uma cicatriz na porção anterior da córnea e a melhor acuidade visual corrigida foi de 20/60 no olho envolvido. Casos de úlcera corneana por Rhodotorula podem ser um desafio ao oftalmologista, tanto no diagnóstico quanto no tratamento, visto que essa levedura pode não responder bem aos antifúngicos disponíveis. Nosso relato de caso evidência a importância de se fazer o diagnóstico precoce e o manejo correto de úlcera infecciosa por esse fungo raro mas potencialmente grave.  Ajnet2021-09-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporthttps://doi.org/10.48560/rspo.24659eng1646-69501646-6950Souza Oliveira, RenatoAlbuquerque, AlineBarbosa de Sousa, Lucieneinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-22T17:06:16Zoai:ojs.revistas.rcaap.pt:article/24659Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:01:46.919944Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Fungal keratitis due to Rhodotorula glutinis: A Case Report
Úlcera Corneana por Rhodotorula glutinis: Relato de Caso
title Fungal keratitis due to Rhodotorula glutinis: A Case Report
spellingShingle Fungal keratitis due to Rhodotorula glutinis: A Case Report
Souza Oliveira, Renato
Comunicações Curtas e Imagens em Oftalmologia
title_short Fungal keratitis due to Rhodotorula glutinis: A Case Report
title_full Fungal keratitis due to Rhodotorula glutinis: A Case Report
title_fullStr Fungal keratitis due to Rhodotorula glutinis: A Case Report
title_full_unstemmed Fungal keratitis due to Rhodotorula glutinis: A Case Report
title_sort Fungal keratitis due to Rhodotorula glutinis: A Case Report
author Souza Oliveira, Renato
author_facet Souza Oliveira, Renato
Albuquerque, Aline
Barbosa de Sousa, Luciene
author_role author
author2 Albuquerque, Aline
Barbosa de Sousa, Luciene
author2_role author
author
dc.contributor.author.fl_str_mv Souza Oliveira, Renato
Albuquerque, Aline
Barbosa de Sousa, Luciene
dc.subject.por.fl_str_mv Comunicações Curtas e Imagens em Oftalmologia
topic Comunicações Curtas e Imagens em Oftalmologia
description We describe a case of mycotic keratitis involving a rare fungus and review the literature on Rhodotorula keratitis. A 40-year-old man was struck in the right eye with a tree branch and developed a corneal ulcer involving the anterior portion of the cornea. Cultures grew Rhodotorula glutinis. The patient was initially treated with topical amphotericin, but only improved with topical and intracameral voriconazole administration. The corneal infiltrate resolved, leaving an anterior stromal scar, and the patient’s best-corrected visual acuity was 20/60 in the involved eye. Cases of Rhodotorula keratitis can pose a challenge to the ophthalmologist, with the diagnosis and the treatment regimen, as this yeast may not respond well to commercially available drugs. We report a case of Rhodotorula keratitis that was only resolved with voriconazole. Our case rein- forces the importance of the early diagnosis and correct management of fungal keratitis involving this rare, but potentially damaging yeast.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-29T00:00:00Z
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