Paecilomyces lilacinus endophthalmitis with secondary keratitis: a case report and literature review
N. Okhravi, J. K. Dart, H. M. Towler and S. Lightman
Department of Clinical Ophthalmology, Moorfields Eye Hospital, London, England.
A case of endogenous fungous endophthalmitis with secondary pupillary block
glaucoma and corneal invasion requiring penetrating keratoplasty is
reported. Initially Paecilomyces lilacinus was isolated from a vitreous and
a lens aspirate, but a second vitreous tap revealed Aspergillus fumigatus
and P lilacinus. This case highlights the difficulty of diagnosing
endogenous fungous endophthalmitis presenting without risk factors and the
difficulties of managing such cases using the antifungous agents available.
To our knowledge, this is the first case report documenting a progression
to stromal keratitis from endogenous endophthalmitis secondary to P
lilacinus.
