Colletotrichum truncatum species complex: Treatment considerations and review of the literature for an unusual pathogen causing fungal keratitis and endophthalmitis.
Med Mycol Case Rep 2015;
9:1-6. [PMID:
26137437 PMCID:
PMC4480352 DOI:
10.1016/j.mmcr.2015.06.001]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Revised: 05/11/2015] [Accepted: 06/01/2015] [Indexed: 11/22/2022] Open
Abstract
We present a case of Colletotrichum truncatum species complex fungal keratitis and endophthalmitis in an 87-year-old immunocompetent male in whom oral triazole antifungals were contraindicated. The patient had recently returned from 4 months in Jamaica with a one month history of progressively increasing pain and inflammation in his left eye. Corneal samples grew a filamentous fungus and internal transcribed spacer sequencing polymerase chain reaction confirmed the presence of C. truncatum species complex. Samples showed no microbial growth.
Colletotrichum species infections in humans are rare.
We present a case of Colletotrichum truncatum species complex keratitis and endophthalmitis.
Oral triazole was contraindicated due to concurrent tamsulosin use.
A multidisciplinary approach is essential for timely diagnosis and tailoring of treatment.
Further study needed to determine optimal management of Colletotrichum infections.
Collapse