Scleritis Due to Histoplasmosis

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

Keywords

  • Fungal
  • Histoplasmosis
  • Infection
  • Scleritis

ASJC Scopus subject areas

  • Ophthalmology

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