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Keratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Report

2021-02Journal article Open access
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dc.contributor.authorBaptista, Pedro Manuel
dc.contributor.authorVieira, Rita
dc.contributor.authorMonteiro, Sílvia
dc.contributor.authorAbreu, Ana Carolina
dc.contributor.authorGomes, Miguel
dc.contributor.authorPinto, Maria do Céu
dc.date.accessioned2023-10-23T08:51:56Z
dc.date.available2023-10-23T08:51:56Z
dc.date.issued2021-02
dc.description.abstractPurpose: To describe a rare case of an interface filamentous fungal keratitis and its successful clinical approach and management. Patients and methods: Retrospective case report. Analysis of the patient's clinical records. Results: A healthy 30-year-old woman presenting with complaints of blurred vision, photophobia and intense pain, was previously diagnosed with a suspected unilateral diffuse lamellar keratitis after laser in situ keratomileusis surgery, and accordingly treated with a scheme of oral and subconjunctival corticosteroids. Due to worsening of symptoms, the patient was later referred to our ophthalmology department. Upon examination, a corneal infiltration was observed and a fungal infection was suspected. Treatment with fortified Voriconazole (1%) was initiated and both topical and oral corticosteroids were tapered. The infiltrate resolved after 6 weeks of antifungal topical treatment. Scopulariopsis brevicaulis was isolated on culture media. At the end of follow-up, the uncorrected distance visual acuity was 20/20 with mild scarring. Conclusion: Scopulariopsis brevicaulis can be associated with post-laser in situ keratomileusis interface infection. A quick intervention may dictate a good outcome, when combining early suspicion and microbiological diagnosis, and an appropriate conservative management. Furthermore, Voriconazole seems to be effective and safe in the treatment of such cases.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBaptista PM, Vieira R, Monteiro S, Abreu AC, Gomes M, Pinto MDC. Keratitis by Scopulariopsis brevicaulis Fungus After LASIK - A Case Report. Int Med Case Rep J. 2021;14:107-110. doi:10.2147/IMCRJ.S299454pt_PT
dc.identifier.doi10.2147/IMCRJ.S299454pt_PT
dc.identifier.issn1179-142X
dc.identifier.urihttp://hdl.handle.net/10400.16/2832
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherDove Medical Presspt_PT
dc.relation.publisherversionhttps://www.dovepress.com/keratitis-by-scopulariopsis-brevicaulis-fungus-after-lasik-ndash-a-cas-peer-reviewed-fulltext-article-IMCRJpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectScopulariopsis brevicaulispt_PT
dc.subjectfungus; keratitispt_PT
dc.subjectlaser in situ keratomileusispt_PT
dc.subjectlaser vision correctionpt_PT
dc.titleKeratitis by Scopulariopsis brevicaulis Fungus After LASIK – A Case Reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Zealandpt_PT
oaire.citation.endPage110pt_PT
oaire.citation.startPage107pt_PT
oaire.citation.titleInternational Medical Case Reports Journalpt_PT
oaire.citation.volume14pt_PT
person.familyNameBaptista
person.familyNameVieira
person.familyNameMonteiro
person.familyNameAbreu
person.familyNameGomes
person.givenNamePedro Manuel
person.givenNameRita
person.givenNameSílvia
person.givenNameAna Carolina
person.givenNameMiguel
person.identifier.orcid0000-0001-8285-1084
person.identifier.orcid0000-0002-5309-6347
person.identifier.orcid0000-0001-5040-6170
person.identifier.orcid0000-0003-4842-8623
person.identifier.orcid0000-0002-2198-7444
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationaefa59ff-77f9-42ff-ac9b-88373f5c2ac8
relation.isAuthorOfPublicationcd1e83a1-7323-4dae-88ce-745f01b6b609
relation.isAuthorOfPublication581655ee-2021-42a9-aca2-e1f207cce842
relation.isAuthorOfPublicationeab24879-bc6b-47e8-8c97-fb00e822e7e9
relation.isAuthorOfPublicationd80c68f2-4ad1-4abb-8cd7-3b8572857cc7
relation.isAuthorOfPublication.latestForDiscoveryaefa59ff-77f9-42ff-ac9b-88373f5c2ac8

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