Scleritis Due to Histoplasmosis.

PURPOSE: To describe the first-documented case of histoplasma scleritis in an immunocompetent patient.

METHODS

Medical and pathological records of the patient described were reviewed.

RESULTS

A 77-year-old immunocompetent man presented with necrotizing scleritis. Biopsy was consistent with histoplasma species, and culture results confirmed a causative agent of Histoplasma capsulatum. The patient required a long course of treatment, which included topical voriconazole and amphotericin, oral itraconazole and voriconazole, intravenous amphotericin, and periocular voriconazole and amphotericin. After 8 months of treatment, the patient's scleritis resolved, and he maintained good visual acuity.

CONCLUSIONS

To our knowledge, this is the second report of histoplasma scleritis in the literature and the first report in an immunocompetent patient.