Keratitis due to Colletotrichum dematium
Kaliamurthy, J.; Thomas, P.A.
Indian Journal of Medical Microbiology 23(3): 205-6; Author Reply 206
2005
ISSN/ISBN: 0255-0857 PMID: 16100435 Document Number: 588140
Colletotrichum dematium has been rarely reported from India before. The present case, a farmer, developed a peripheral corneal ulcer five days after trauma with a plant. At presentation his visual acuity was 6/60 (unaided) and 6/24P with pinhole. Slit lamp and fluorescent stain examination revealed a paracentral corneal ulcer with irregular margins, stromal infiltration and multiple epithelial defects. Microbiological examination of corneal samples confirmed the initial diagnosis of fungal corneal ulcer and the fungus was identified as C. dematium. The patient was treated with topical natamycin and ciprofloxacin. He left against medical advice and was lost to follow up. This report emphasizes that Colletotrichum keratitis may not be rare. Early diagnosis may help in institution of specific therapy early in the disease.