Corneal Transplant Infection due to Alternaria alternata: A Case Report

Purpose. To report a case of Alternaria alternata keratitis in a patient with a corneal transplant in her right eye due to bullous pseudophakic keratopathy. Methods. A 66-year-old female underwent a full-thickness keratoplasty in her right eye due to bullous pseudophakic keratopathy. Three weeks af...

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Main Authors: Vasileios Konidaris, Andreana Mersinoglou, Timoleon-Achilleas Vyzantiadis, Domniki Papadopoulou, Kostas G. Boboridis, Panagiotis Ekonomidis
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2013/589620
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author Vasileios Konidaris
Andreana Mersinoglou
Timoleon-Achilleas Vyzantiadis
Domniki Papadopoulou
Kostas G. Boboridis
Panagiotis Ekonomidis
author_facet Vasileios Konidaris
Andreana Mersinoglou
Timoleon-Achilleas Vyzantiadis
Domniki Papadopoulou
Kostas G. Boboridis
Panagiotis Ekonomidis
author_sort Vasileios Konidaris
collection DOAJ
description Purpose. To report a case of Alternaria alternata keratitis in a patient with a corneal transplant in her right eye due to bullous pseudophakic keratopathy. Methods. A 66-year-old female underwent a full-thickness keratoplasty in her right eye due to bullous pseudophakic keratopathy. Three weeks after keratoplasty, epithelial edema and a stromal opacity with an infiltrate and development of peripheral corneal opacities appeared. The diagnosis of Alternaria alternata keratitis was made. Results. The patient underwent a second keratoplasty, due to the corneal melting as a result of the fungal infection. She was also given combined antifungal treatment locally and systematically. Conclusion. Corneal transplantation alone would not have been sufficient to keep the fungus in the anterior portion of the eye. Combined antifungal treatment, locally and systematically, was important in attempting to prevent the further spread of the fungus to the interior of the eye. To our knowledge, the case presented here is only the second one in the literature concerning a keratomycosis due to Alternaria alternata corneal transplant infection.
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spelling doaj-art-f6b5a74c7fd4448e813754f70dfae7cd2025-02-03T01:30:08ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302013-01-01201310.1155/2013/589620589620Corneal Transplant Infection due to Alternaria alternata: A Case ReportVasileios Konidaris0Andreana Mersinoglou1Timoleon-Achilleas Vyzantiadis2Domniki Papadopoulou3Kostas G. Boboridis4Panagiotis Ekonomidis5Ophthalmology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kyriakidis 1 Street, 54636 Thessaloniki, GreeceOphthalmology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kyriakidis 1 Street, 54636 Thessaloniki, GreeceDepartment of Microbiology, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceOphthalmology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kyriakidis 1 Street, 54636 Thessaloniki, GreeceOphthalmology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kyriakidis 1 Street, 54636 Thessaloniki, GreeceOphthalmology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, St. Kyriakidis 1 Street, 54636 Thessaloniki, GreecePurpose. To report a case of Alternaria alternata keratitis in a patient with a corneal transplant in her right eye due to bullous pseudophakic keratopathy. Methods. A 66-year-old female underwent a full-thickness keratoplasty in her right eye due to bullous pseudophakic keratopathy. Three weeks after keratoplasty, epithelial edema and a stromal opacity with an infiltrate and development of peripheral corneal opacities appeared. The diagnosis of Alternaria alternata keratitis was made. Results. The patient underwent a second keratoplasty, due to the corneal melting as a result of the fungal infection. She was also given combined antifungal treatment locally and systematically. Conclusion. Corneal transplantation alone would not have been sufficient to keep the fungus in the anterior portion of the eye. Combined antifungal treatment, locally and systematically, was important in attempting to prevent the further spread of the fungus to the interior of the eye. To our knowledge, the case presented here is only the second one in the literature concerning a keratomycosis due to Alternaria alternata corneal transplant infection.http://dx.doi.org/10.1155/2013/589620
spellingShingle Vasileios Konidaris
Andreana Mersinoglou
Timoleon-Achilleas Vyzantiadis
Domniki Papadopoulou
Kostas G. Boboridis
Panagiotis Ekonomidis
Corneal Transplant Infection due to Alternaria alternata: A Case Report
Case Reports in Ophthalmological Medicine
title Corneal Transplant Infection due to Alternaria alternata: A Case Report
title_full Corneal Transplant Infection due to Alternaria alternata: A Case Report
title_fullStr Corneal Transplant Infection due to Alternaria alternata: A Case Report
title_full_unstemmed Corneal Transplant Infection due to Alternaria alternata: A Case Report
title_short Corneal Transplant Infection due to Alternaria alternata: A Case Report
title_sort corneal transplant infection due to alternaria alternata a case report
url http://dx.doi.org/10.1155/2013/589620
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