Unusual Pigmented Fungal Keratitis by Fonsecaea Copper Pennies
A 35 year male presented with wooden stick injury and corneal infiltrates. On KOH wet mount, light brown coloured septate round shaped structures – “sclerotic bodies” were visible. Such bodies also known as Copper Pennies are characteristically found in pigmented fungus - Fonsecaea species. The pati...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-07-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.7869/djo.69 |
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| Summary: | A 35 year male presented with wooden stick injury and corneal infiltrates. On KOH wet mount, light brown coloured septate round shaped structures – “sclerotic bodies” were visible. Such bodies also known as Copper Pennies are characteristically found in pigmented fungus - Fonsecaea species. The patient was put on Natamycin eye drops (1%), however he worsened on treatment. The patient was started on oral and topical Voriconazole (1%) and responded favorably. The infiltrates healed and no recurrences were seen at 12 week follow up. We conclude that unusual pigmented fungus may be resistant to conventional treatment however may respond to voriconazole. |
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| ISSN: | 0972-0200 2454-2784 |