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BMJ Case Reports
Article
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BMJ Case Reports
Article . 2019 . Peer-reviewed
Data sources: Crossref
BMJ Case Reports
Article . 2019
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RecalcitrantPaecilomyceskeratitis

Authors: Seetha Lakshmi; Cristina Vanessa Garcia;

RecalcitrantPaecilomyceskeratitis

Abstract

A 54-year-old Caucasian woman presented with corneal ulcer of the right eye of 4 weeks duration after scratching her cornea while removing her contact lens and artificial eye lashes. Her visual acuity was 20/32 (left eye) and finger counting (right eye). She had a 3x3 mm epithelial defect with underlying corneal oedema and hypopyon. Right eye cultures grewPaecilomycesspecies. Topical and systemic antifungal agents were initiated. Due to the sight-threatening disease, the patient underwent surgical intervention with intrastromal injection of amphotericin B and a large conjunctival flap covering 75% of the right eye corneal ulcer. After 3 months of therapy, she had near-complete resolution of the corneal ulcer. Unfortunately, recurrence of the corneal ulcer occurred within 3 weeks of cessation of therapy, prompting reinitiation of ophthalmic and systemic antifungal agents. The patient was advised to continue therapy for 6 months with regular follow-up.

Related Organizations
Keywords

Keratitis, Antifungal Agents, Corneal Edema, Visual Acuity, Middle Aged, Surgical Flaps, Treatment Outcome, Mycoses, Recurrence, Amphotericin B, Humans, Female, Injections, Intraocular, Corneal Ulcer, Paecilomyces, Eye Infections, Fungal

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    popularity
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
bronze