Scleritis Due to Histoplasmosis

Lauren A. Dalvin, Steven B. Thom, Joaquín J. García, Hind Fadel, Keith Baratz

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)402-404
Number of pages3
JournalCornea
Volume35
Issue number3
DOIs
StatePublished - Jan 1 2016

Fingerprint

Scleritis
Histoplasmosis
Histoplasma
Amphotericin B
Itraconazole
Visual Acuity
Medical Records
Biopsy
Therapeutics
Voriconazole

Keywords

  • Fungal
  • Histoplasmosis
  • Infection
  • Scleritis

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Dalvin, L. A., Thom, S. B., García, J. J., Fadel, H., & Baratz, K. (2016). Scleritis Due to Histoplasmosis. Cornea, 35(3), 402-404. https://doi.org/10.1097/ICO.0000000000000733

Scleritis Due to Histoplasmosis. / Dalvin, Lauren A.; Thom, Steven B.; García, Joaquín J.; Fadel, Hind; Baratz, Keith.

In: Cornea, Vol. 35, No. 3, 01.01.2016, p. 402-404.

Research output: Contribution to journalArticle

Dalvin, LA, Thom, SB, García, JJ, Fadel, H & Baratz, K 2016, 'Scleritis Due to Histoplasmosis', Cornea, vol. 35, no. 3, pp. 402-404. https://doi.org/10.1097/ICO.0000000000000733
Dalvin, Lauren A. ; Thom, Steven B. ; García, Joaquín J. ; Fadel, Hind ; Baratz, Keith. / Scleritis Due to Histoplasmosis. In: Cornea. 2016 ; Vol. 35, No. 3. pp. 402-404.
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