Journals / Türk Hijyen ve Deneysel Biyoloji Dergisi / 2016 / Cilt: 73 - Sayı: 4

A case of Aspergillus flavus complex keratitis treated with voriconazole

Vorikonazol ile tedavi edilen bir Aspergillus flavus kompleks keratit olgusu

Pages
389–394
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In fungal keratitis it is significant to perform accurate and rapid diagnosis and have accurate knowledge about treatment options

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Fungal keratitis can be caused by yeasts Candida spp. and various filamentous fungi such as Fusarium spp.
📊
Key Findings & Data:Aspergillus spp. and Alternaria spp.
💡
Conclusion & Impact:In fungal keratitis it is significant to perform accurate and rapid diagnosis and have accurate knowledge about treatment options
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Fungal keratitis can be caused by yeasts Candida spp. and various filamentous fungi such as Fusarium spp. Aspergillus spp. and Alternaria spp. In fungal keratitis it would be on appropriate approach to know risk factors of epidemiology and predisposing risks, and to start on effective antifungal treatment to the patient with proper laboratory diagnosis. Fungal keratitis is difficult to treat and carries a serious risk factor like intraocular involvement. Traditional antifungal drugs usually have good topical transcorneal penetration, but they are limited to intraocular penetration and systemic therapy. In this paper, it is presented a case of A. flavus complex keratitis successfully treated with oral and topical voriconazole. Although fungal keratitis is occured rarely, it still has a serious prognosis. In fungal keratitis it is significant to perform accurate and rapid diagnosis and have accurate knowledge about treatment options

Özet

Fungal keratitlere, Candida spp. cinsi mayalar ile Fusarium spp. Aspergillus spp. ve Alternaria spp. gibi çeşitli filamentöz mantarlar etken olabilir. Fungal keratitlerde epidemiyolojinin ve predispozan risk faktörlerinin bilinmesi ve doğru laboratuvar tanı ile hastaya etkin antifungal tedavinin başlanması uygun yaklaşımdır. Fungal keratitleri tedavi etmek zordur ve intraoküler tutulum gibi ciddi bir risk faktörü taşır. Geleneksel antifungal ilaçlar genellikle iyi topikal transkorneal penetrasyon sağlar, ancak sistemik tedavi ile göz içi penetrasyonda sınırlı kalırlar. Bu yazıda, oral ve topikal vorikonazol ile başarılı şekilde tedavi edilen A. flavus kompleks keratit olgusu sunulmuştur. Fungal keratitler nadir gözlense de halen kötü prognozla seyretmektedirler. Fungal keratitlerde tanının doğru ve hızlı gerçekleştirilmesi ve tedavi seçenekleri hakkında doğru bilgiye sahip olunması önem arz eder

🔖

Cite This Article

KEMER, Ö. E., HAZIROLAN, G., ÖZEK, D., AKSOY, A., AKSU, N. (2022). A case of Aspergillus flavus complex keratitis treated with voriconazole. Türk Hijyen ve Deneysel Biyoloji Dergisi, Cilt: 73 - Sayı: 4, 389–394. https://ajindex.com/articles/654819

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Lalitha P, Prajna NV, Kabra A, Mahadevan K, Srinivasan M. Risk factors for treatment outcome in fungal keratitis. Ophthalmology, 2006; 113(4): 526–30
  2. Qiu WY, Yao YF, Zhu YF, Zhang YM, Zhou P, Jin YQ, et al. Fungal spectrum identified by a new slide culture and in vitro drug susceptibility using etest in fungal keratitis. Cur Eye Res, 2005; 30(12): 1113–20
  3. Marangon FB, Miller D, Giaconi JA, Alfonso EC. In vitro investigation of voriconazole susceptibility for keratitis and endophthalmitis fungal pathogens. Am J Ophthalmol, 2004; 137(5): 820–5
  4. CLSI. Reference method for broth dilution antifungal susceptibility testing of filamentous fungi; Approved Standard-Second edition. CLSI document M38-A2. Wayne, PA: Clinical and Laboratory Standards Institute; 2008
  5. Galarreta DJ, Tuft SJ, Ramsay A, Dart JK. Fungal keratitis in London: microbiological and clinical evaluation. Cornea, 2007; 26(9): 1082-6
  6. Słowik M, Biernat MM, Urbaniak-Kujda D, KapelkoSłowik K, Misiuk-Hojło M. Mycotic Infections of the Eye. Adv Clin Exp Med, 2015; 24(6): 1113-7
  7. Khater MM, Shehab NS, El-Badry AS. Comparison of mycotic keratitis with nonmycotic keratitis: an epidemiological study. J Ophthalmol, Epub 2014; 254302
  8. Mohd-Tahir F, Norhayati A, Siti-Raihan I, Ibrahim M. A 5-year retrospective review of fungal keratitis at hospital universiti sains malaysia. Interdiscip Perspect Infect Dis, Epub 2012; 851563
  9. Lu XH, Gao Y, Zhang L, DU M, Li SX, Wang T, et al. Aetiology analyses of 334 cases fungal keratitis. Zhonghua Yan Ke Za Zhi, 2013; 49(1):12-5
  10. He D, Hao J, Zhang B, Yang Y, Song W, Zhang Y, et al. Pathogenic spectrum of fungal keratitis and specific identification of Fusarium solani. Invest Ophthalmol Vis Sci, 2011; 52(5): 2804-8
  11. Direkel S, Otağ F, Aslan G, Ulger M, Emekdaş G. Identification of filamentous fungi isolated from clinical samples by two different methods and their susceptibility results. Mikrobiyol Bul, 2012; 46(1):65-78
  12. Erdem U, Bagkesen H, Durukan AH, Saracli MA, Hürmeric V, Bayraktar M. Clinical follow up of a keratomycosis case with total corneal melting. Gulhane Med J, 2005; 47(2): 135-8
  13. Atalay MA, Koc AN. Fungal keratitis caused by Scedosporium apiospermum: first report from Turkey-comment. Mikrobiyol Bul, 2014; 48(2): 362-3
  14. Özkan A, Susever S, Erturan Z, Uzun M, Alparslan N, Öz Y, ve ark.et al. A case of keratitis caused by Scedosporium apiospermum. J Microbiol Infec Dis, 2013; 3(1):45-8
  15. Akçay ME, Açikgöz ZC,