Two cases of keratomycosis caused by Alternaria species.
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Accession number;04A0049658
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| Title;Two cases of keratomycosis caused by Alternaria species. |
| Author;
SUZUKI TAKASHI
(Ehime Univ., Fac. Medicine, JPN)
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MIYAMOTO HITOSHI
(Ehime Univ., School of Medicine, Hospital, JPN)
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Journal Title;Japanese Journal of Clinical Ophthalmology
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Journal Code:Z0515B
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ISSN:0370-5579
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VOL.58;NO.1;PAGE.65-69(2004)
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| Figure&Table&Reference;FIG.6, TBL.1, REF.13 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We observed two cases of keratomycosis caused by Alternaria species. A 70-year-old male was hit by a branch of orange tree in his right eye. Treatment for bacterial keratitis was futile. When seen by us 10 weeks after injury, the affected eye had visual acuity of 0.09 and had corneal ulcer with infiltrate in the anterior stroma. Hyphae were found in the corneal smear, leading to the diagnosis of keratomycosis. The corneal lesion promptly reacted to topical myconazol and others. The corneal ulcer healed 3 weeks later with the visual acuity of 1.0. The other was a 70-year-old female farmer. She was seen by us after 6 weeks of futile treatment for corneal herpes in her left eye. She showed similar findings as the former case. In both cases, culture of corneal scrapings showed filamentous fungi that were later identified as Alternaria species. The corneal lesion was characterized by irregular edge of ulcer, involvement of anterior corneal stroma only, absence of hypopyon, slow progression, and prompt response to azole and polyene antifungal agents. (author abst.) |
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