Beauveria bassiana keratitis: Management of an atypical clinical presentation
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Pietro Ducange, Tommaso Verdina, Fabio Stiro, Antonella Grottola, Gabriella Orlando, Giancarlo Delvecchio, Rodolfo Mastropasqua
Abstract
We report an atypical presentation of Beauveria bassiana keratitis which unusually presented in a 85-year-old patient with a corneal ulcer with an anterior segment inflammation and hypopyon. Despite negative culture and unspecific results from panfungal PCR-based sequencing, the patient was treated for a presumed fungal infection. Following clinical deterioration an emergency surgical intervention with apposition of a corneal patch was performed. Infection resolution was achieved following the introduction of systemic voriconazole to the topical one.
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