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Rare disease
CASE REPORT
Rare Kodamaea ohmeri keratitis following a trivial vegetative trauma
  1. Ali Hadi Saud Al-Abbas,
  2. Jiunn Loong Ling,
  3. Julieana Muhammed and
  4. Adil Hussein
  1. Department of Ophthalmology, University Sains Malaysia - Health Campus, Kubang Kerian, Malaysia
  1. Correspondence to Dr Julieana Muhammed, drjulieana{at}usm.my

Abstract

Kodamaea ohmeri keratitis is an opportunistic pathogen seen in patients who have undergone invasive procedures and immunocompromised state. It has been identified in septicemia patients, resulting in mortality. To the best of our knowledge, we identified the first case of K. ohmeri keratitis following an injury with vegetative material. A 57-year-old woman with underlying, poorly controlled diabetes mellitus was gardening when a tree leaf accidentally poked her in the eye. Two weeks later, the patient presented with right eye pain, redness and progressive blurring of vision due to a traumatised right cornea. Slit-lamp examination showed a small inferior paracentral corneal stromal infiltrate with overlying epithelial defect. A corneal scraping sample yielded K. ohmeri from Analytical Profile Index (API) 20C yeast identification system. She was treated with intensive topical amphotericin B and fluconazole. After 6 weeks of treatment, the keratitis resolved with faint scar tissue, and her visual acuity improved.

  • ophthalmology
  • anterior chamber

https://doi.org/10.1136/bcr-2019-229660

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    Footnotes

    • Contributors JM: conception and design of the case report. Revising for important intellectual content and final approval. AHSA-A: acquisition and analysis data for case write-up. Drafting the work. JLL: acquisition and analysis data for case write-up. Drafting the work. AH: revising for important intellectual content and final approval.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.