Fungal Keratitis Caused by Colletotrichum dematium: Case Study and Review
Jazyk angličtina Země Nizozemsko Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články, systematický přehled
Grantová podpora
PROGRES Q40/07
Charles University, Prague, Czech Republic
CZ.1.05/1.1.00/02.0109
BIOCEV
204069
Charles University Research Centre
PubMed
30949880
DOI
10.1007/s11046-019-00335-w
PII: 10.1007/s11046-019-00335-w
Knihovny.cz E-zdroje
- Klíčová slova
- Coelomycetous fungi, Colletotrichum dematium, Corneal collagen cross-linking, Glomerella, Keratomycosis, Molecular identification, Therapy,
- MeSH
- amfotericin B aplikace a dávkování MeSH
- antifungální látky aplikace a dávkování MeSH
- aplikace lokální MeSH
- Colletotrichum klasifikace genetika izolace a purifikace MeSH
- diagnostické techniky molekulární MeSH
- dospělí MeSH
- glyceraldehyd-3-fosfátdehydrogenasa (fosforylační) genetika MeSH
- keratitida diagnóza mikrobiologie patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mezerníky ribozomální DNA genetika MeSH
- mikrobiologické techniky MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mykózy diagnóza mikrobiologie patologie MeSH
- poranění oka komplikace MeSH
- sekvenční analýza DNA MeSH
- tubulin genetika MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- systematický přehled MeSH
- Názvy látek
- amfotericin B MeSH
- antifungální látky MeSH
- glyceraldehyd-3-fosfátdehydrogenasa (fosforylační) MeSH
- mezerníky ribozomální DNA MeSH
- tubulin MeSH
Colletotrichum species are known as important pathogens of plants with an impact on crop production. Some of these species are also known as a cause of rare ophthalmic infections in humans. A case of keratitis caused by Colletotrichum dematium after corneal trauma in a 56-year-old woman is presented. Infection was diagnosed based on positive microscopy and culture. The fungal isolate was identified by morphological characteristics and DNA sequencing of the ITS rDNA region, β-tubulin (tub2) and glyceraldehyde-3-phosphate dehydrogenase (gapdh) genes. The patient responded well to topical therapy with amphotericin B combined with intravenous amphotericin B but improvement was associated with the corneal collagen cross-linking. The review of the literature revealed another 13 cases of C. dematium keratitis, all but one patient having at least one keratitis risk factor in their history. Almost all patients (n = 12) were treated with topical polyene antibiotics (natamycin or amphotericin B), improvement and cure were achieved in eight of them.
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