Fungal keratitis due to Rhodotorula glutinis: A Case Report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48560/rspo.24659 |
url |
https://doi.org/10.48560/rspo.24659 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1646-6950 1646-6950 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Ajnet |
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Ajnet |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130482759172096 |