Contact lens associated keratitis due to Tintelnotia destructans

Shu Jin Tan; Mariyam Nure; Dianne Gardam; Charlotte McKnight; Peter A Boan; Benjamin M Clark

doi:10.1016/j.mmcr.2019.12.004

Contact lens associated keratitis due to Tintelnotia destructans

Med Mycol Case Rep. 2019 Dec 4:27:8-10. doi: 10.1016/j.mmcr.2019.12.004. eCollection 2020 Mar.

Authors

Shu Jin Tan¹, Mariyam Nure¹, Dianne Gardam¹, Charlotte McKnight², Peter A Boan^{1

3}, Benjamin M Clark³

Affiliations

¹ PathWest Laboratory Medicine WA, Department of Microbiology, Fiona Stanley Hospital, 11, Robin Warren Drive, Murdoch, Western Australia, 6150, Australia.
² Department of Ophthalmology, Fremantle Hospital and Health Service, Alma Street, Fremantle, Western Australia, 6160, Australia.
³ Department of Infectious Diseases, Fiona Stanley Fremantle Hospital Group, 11, Robin Warren Drive, Murdoch, Western Australia, 6150, Australia.

Abstract

We report the first case of Tintelnotia destructans associated keratitis in a contact lens wearer in Australia. Corneal scrape showed fungal elements on direct microscopy leading to a prompt diagnosis of fungal keratitis and early topical and systemic antifungal therapy. The isolate was eventually identified by ITS gene sequencing. This case highlights the importance of accurate identification and antifungal susceptibility testing for the management of fungal keratitis.

Keywords: Fungal keratitis; Tintelnotia; Voriconazole.

Publication types

Case Reports