Fungal keratitis: Difference between revisions
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(Created page with "== Background == * Infection of the cornea * See also eye:Fungal Keratitis * Typically caused by traumatic inoculation === Microbiology === * Candida species including Candida albicans, Candida glabrata, Candida tropicalis, Candida krusei, and Candida parapsilosis Category:Ocular infections") |
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=== Microbiology === |
=== Microbiology === |
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* Yeast including [[Candida albicans]], [[Candida glabrata]], [[Candida tropicalis]], [[Candida krusei]], and [[Candida parapsilosis]] |
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* Filamentous fungi including [[Aspergillus]], [[Fusarium]], [[Cladosporium]], [[Curvalaria]], and [[Rhizopus]] |
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== Clinical Manifestations == |
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* As for other causes of [[keratitis]] |
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* Blurry vision, redness, tearing, photophobia, pain, foreign body sensation, secretions |
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== Management == |
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* Topical antifungals are the mainstay of treatment |
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** Topical [[natamycin]] 5%, but also topical [[voriconazole]] 1% dilution (50 µg/0.1 mL for injection), [[caspofungin]], and others |
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* Sometimes oral antifungals |
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** [[Voriconazole]] |
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** [[Posaconazole]] |
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** Maybe others, depending on the species |
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[[Category:Ocular infections]] |
[[Category:Ocular infections]] |
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Latest revision as of 15:16, 22 October 2024
Background
- Infection of the cornea
- See also eye:Fungal Keratitis
- Typically caused by traumatic inoculation
Microbiology
- Yeast including Candida albicans, Candida glabrata, Candida tropicalis, Candida krusei, and Candida parapsilosis
- Filamentous fungi including Aspergillus, Fusarium, Cladosporium, Curvalaria, and Rhizopus
Clinical Manifestations
- As for other causes of keratitis
- Blurry vision, redness, tearing, photophobia, pain, foreign body sensation, secretions
Management
- Topical antifungals are the mainstay of treatment
- Topical natamycin 5%, but also topical voriconazole 1% dilution (50 µg/0.1 mL for injection), caspofungin, and others
- Sometimes oral antifungals
- Voriconazole
- Posaconazole
- Maybe others, depending on the species
