Endophthalmitis after Lasiodiplodia theobromae corneal abscess.

BACKGROUND

Lasiodiplodia theobromae is an exceptional cause of human keratomycosis.

PATIENT: We treated a 53-year-old man with fungal keratitis, which had been treated with topical betamethasone and gentamicin for 1 month, and endophthalmitis due to Lasiodiplodia theobromae. Despite intensive systemic, topical and intravitreal fungicidal treatment, enucleation had to be performed.

RESULTS

The vitreous aspirate cultures were negative as of the second amphotericin intravitreal injection. However, histology revealed that the fungus was present in the cornea, ciliary body, iris and retina.

CONCLUSION

The use of topical steroids may worsen the outcome of the infection.