Chronic endophthalmitis due to pyrenocheta romeroi in an immunocompetent host-A case report from southern india

Kalpana Babu, Praveen R. Murthy, Peralam Y. Prakash, Jyoti Kattige, Sukanya Rangaswamy, Vinay R. Murthy, Krishna R. Murthy

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: Endophthalmitis due to Pyrenochaeta romeroi has not been reported in literature (PubMed, Medline). We report an interesting case of P. romeroi causing chronic endophthalmitis in an immunocompetent lady. Methods: Retrospective interventional case report. A 25-year-old immunocompetent lady presented with pain and redness in the left eye of 1-month duration. Her best-corrected visual acuity was 6/6 and 6/18 in the right and the left eyes, respectively. Slit-lamp examination of the left eye showed a corneal stromal scar, fibrinlike material in the anterior chamber, few retrolental cells, and normal fundus examination. Results: Aqueous taps on two occasions were negative for bacteria and fungi on routine smear, culture, and nested polymerase chain reaction. As inflammation recurred despite intravitreal voriconazole and amikacin injections, a lensectomy with vitrectomy was done. During vitrectomy, dense flocculent material was seen in the pars plana with only scleral indentation. The flocculent material grew a rare filamentous fungus called P. romeroi. The left eye underwent retinal detachment surgery with silicone oil insertion for a giant retinal tear at 2 months of follow-up. At 6 months of follow-up, her vision in the left eye was stable at 6/24 (Snellen) with no ocular inflammation. Conclusion: P. romeroi may need to be added in the list of rare fungi, which cause chronic endophthalmitis.

Original languageEnglish
Pages (from-to)197-199
Number of pages3
JournalRetinal Cases and Brief Reports
Volume8
Issue number3
DOIs
Publication statusPublished - 01-01-2014

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Endophthalmitis
India
Fungi
Vitrectomy
Inflammation
Silicone Oils
Retinal Perforations
Temazepam
Amikacin
Anterior Chamber
Retinal Detachment
PubMed
Visual Acuity
Bacteria
Pain
Polymerase Chain Reaction
Injections

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Medicine(all)

Cite this

Babu, Kalpana ; Murthy, Praveen R. ; Prakash, Peralam Y. ; Kattige, Jyoti ; Rangaswamy, Sukanya ; Murthy, Vinay R. ; Murthy, Krishna R. / Chronic endophthalmitis due to pyrenocheta romeroi in an immunocompetent host-A case report from southern india. In: Retinal Cases and Brief Reports. 2014 ; Vol. 8, No. 3. pp. 197-199.
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Chronic endophthalmitis due to pyrenocheta romeroi in an immunocompetent host-A case report from southern india. / Babu, Kalpana; Murthy, Praveen R.; Prakash, Peralam Y.; Kattige, Jyoti; Rangaswamy, Sukanya; Murthy, Vinay R.; Murthy, Krishna R.

In: Retinal Cases and Brief Reports, Vol. 8, No. 3, 01.01.2014, p. 197-199.

Research output: Contribution to journalArticle

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AU - Babu, Kalpana

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