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DOI	10.1016/j.amsu.2020.11.065
	Indolent keratitis due to fungus of Malbranchea species. A case report
	Bamahfouz, Ashjan Yousef; Alsaidi, Abdulrahman Ali; Alharbi, Ibrahim Jameel; Elsebaei, Eman Abdulraheem; Aldosari, Ayat Mohammed; Farahat, Ahmed Gamil; Alhazmi, Renad Turki
通讯作者	Alsaidi, AA (corresponding author), Umm Al Qura Univ, Coll Med, Dept Ophthalmol, POB 715, Makkah City 21955, Saudi Arabia.
来源期刊	ANNALS OF MEDICINE AND SURGERY
ISSN	2049-0801
出版年	2020
卷号	60 页码:606-609
英文摘要	Introduction: Keratitis caused by saprophytic fungi is on the rise in rural areas, often caused by ocular trauma with wooden objects. Early detection of causative organisms and sustained, supervised management can prevent visual disabilities. Case presentation: A middle-aged patient from a rural, semi-arid region who presented with pain, redness, and a foreign-body sensation in his left eye resulting from a corneal ulcer induced by trauma from a wooden stick. Due to a history of uncontrolled diabetes and progression of his corneal lesions, he was admitted to our institution for treatment of infectious keratitis. Microbiological examination of corneal scrapings revealed thin, septate hyaline hyphae without conidia or conidiophores, and the patient was diagnosed with a fungal keratitis caused by a Malbranchea species. Though the patient initially responded to treatment with topical natamycin, his condition worsened. He was subsequently successfully treated with topical amphotericin B (1 mg/mL) twice hourly and systemic antifungals. Four months after discharge, the patient returned with symptom recurrence. Conclusion: We report the case of a patient with a Malbranchea species causing a rare and recurrent fungal keratitis with corneal infiltrates, subsequently cured by medical management with salvaging of his vision. In patients with a suspected fungal keratitis, early treatment is crucial and should be combined with tight glycemic control for as long as 6 months after presentation to avoid recurrence.
英文关键词	Case report Fungal keratitis Malbranchea species Corneal ulcer Diabetes
类型	Article
语种	英语
开放获取类型	Green Published, Other Gold
收录类别	ESCI
WOS记录号	WOS:000604744200028
WOS关键词	MANAGEMENT ; DIAGNOSIS
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/352516
作者单位	[Bamahfouz, Ashjan Yousef; Alsaidi, Abdulrahman Ali; Alharbi, Ibrahim Jameel; Alhazmi, Renad Turki] Umm Al Qura Univ, Coll Med, Dept Ophthalmol, Mecca, Saudi Arabia; [Bamahfouz, Ashjan Yousef; Elsebaei, Eman Abdulraheem; Farahat, Ahmed Gamil] Secur Forces Hosp, Dept Ophthalmol, Mecca, Saudi Arabia; [Aldosari, Ayat Mohammed] Minist Natl Guard Hlth Affairs, King Abdul Aziz Med City, Dept Ophthalmol, Jeddah, Saudi Arabia; [Bamahfouz, Ashjan Yousef] King Abdullah Med City, Dept Ophthalmol, Mecca, Saudi Arabia
推荐引用方式 GB/T 7714	Bamahfouz, Ashjan Yousef,Alsaidi, Abdulrahman Ali,Alharbi, Ibrahim Jameel,et al. Indolent keratitis due to fungus of Malbranchea species. A case report[J],2020,60:606-609.
APA	Bamahfouz, Ashjan Yousef.,Alsaidi, Abdulrahman Ali.,Alharbi, Ibrahim Jameel.,Elsebaei, Eman Abdulraheem.,Aldosari, Ayat Mohammed.,...&Alhazmi, Renad Turki.(2020).Indolent keratitis due to fungus of Malbranchea species. A case report.ANNALS OF MEDICINE AND SURGERY,60,606-609.
MLA	Bamahfouz, Ashjan Yousef,et al."Indolent keratitis due to fungus of Malbranchea species. A case report".ANNALS OF MEDICINE AND SURGERY 60(2020):606-609.