Fonsecaea pedrosoi as a rare cause of acute conjunctival ulceration

• Main Authors: Fatih Mehmet Adibelli, Nilgun Karabicak, Ali Akal, Tugba Goncu, Omer Faruk Yilmaz, Mehmet Bayraktar
• Format: Article
• Language: English
• Published: Conselho Brasileiro de Oftalmologia
• Series: Arquivos Brasileiros de Oftalmologia
• Subjects: Chromoblastomycosis; Ascomycota/isolation & purification; Conjunctival disease; Eye injuries, penetrating; Eye infections, fungal
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400261&lng=en&tlng=en

ABSTRACT Conjunctival ulceration accompanied with secretion and pain was observed in a 30-year-old male, 3 days after a perforating corneal trauma. Cultures of conjunctival ulcer samples grew Fonsecaea pedrosoi, a major causative agent of chromoblastomycosis that is typically transmitted during trauma. The conjunctival ulcer was successfully treated with amphotericin B, itraconazole, and fluconazole. This case report summarizes the diagnosis and treatment of a conjunctival ulcer due to F. pedrosoi, which is a rare complication of contaminated ocular trauma. To the best of our knowledge, this is the first reported case of F. pedrosoi causing acute conjunctival ulceration in the literature.