Candida Keratitis After Descemet Stripping and Automated Endothelial Keratoplasty
PURPOSE:To report the donor-to-host transmission of Candida albicans after Descemet stripping and automated endothelial keratoplasty (DSAEK). METHODS:An 80-year-old woman with pseudophakic bullous keratopathy developed an infiltrate in the donor corneal lenticule after DSAEK. RESULTS:Donor corneoscl...
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| Veröffentlicht in: | Cornea 2009-05, Vol.28 (4), p.471-473 |
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| container_title | Cornea |
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| creator | Koenig, Steven B Wirostko, William J Fish, Robert I Covert, Douglas J |
| description | PURPOSE:To report the donor-to-host transmission of Candida albicans after Descemet stripping and automated endothelial keratoplasty (DSAEK).
METHODS:An 80-year-old woman with pseudophakic bullous keratopathy developed an infiltrate in the donor corneal lenticule after DSAEK.
RESULTS:Donor corneoscleral rim cultures grew C. albicans. Gram stain of the removed corneal lenticule demonstrated budding yeast and pseudohyphae, and cultures yielded C. albicans. Despite topical and systemic antifungal therapy and therapeutic penetrating keratoplasty, the patient developed a blind painful eye and underwent enucleation.
CONCLUSIONS:This case report indicates that fungal keratitis may occur from donor-to-host transmission after DSAEK. The location of the infected tissue poses diagnostic and therapeutic challenges for the surgeon. |
| doi_str_mv | 10.1097/ICO.0b013e31818ad9bc |
| format | Article |
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METHODS:An 80-year-old woman with pseudophakic bullous keratopathy developed an infiltrate in the donor corneal lenticule after DSAEK.
RESULTS:Donor corneoscleral rim cultures grew C. albicans. Gram stain of the removed corneal lenticule demonstrated budding yeast and pseudohyphae, and cultures yielded C. albicans. Despite topical and systemic antifungal therapy and therapeutic penetrating keratoplasty, the patient developed a blind painful eye and underwent enucleation.
CONCLUSIONS:This case report indicates that fungal keratitis may occur from donor-to-host transmission after DSAEK. The location of the infected tissue poses diagnostic and therapeutic challenges for the surgeon.</description><identifier>ISSN: 0277-3740</identifier><identifier>EISSN: 1536-4798</identifier><identifier>DOI: 10.1097/ICO.0b013e31818ad9bc</identifier><identifier>PMID: 19411972</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Aged, 80 and over ; Candida albicans - isolation & purification ; Candidiasis - microbiology ; Candidiasis - surgery ; Candidiasis - transmission ; Cornea - microbiology ; Corneal Transplantation - adverse effects ; Descemet Membrane - surgery ; Disease Transmission, Infectious ; Endothelium, Corneal - transplantation ; Eye Infections, Fungal - microbiology ; Eye Infections, Fungal - surgery ; Eye Infections, Fungal - transmission ; Female ; Humans ; Keratitis - microbiology ; Keratitis - surgery ; Keratoplasty, Penetrating ; Tissue Donors</subject><ispartof>Cornea, 2009-05, Vol.28 (4), p.471-473</ispartof><rights>Copyright © 2009 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4161-32989e6a224bdf98250f87618fadd8bffafa50cc8963207780765b6a8f503ef83</citedby><cites>FETCH-LOGICAL-c4161-32989e6a224bdf98250f87618fadd8bffafa50cc8963207780765b6a8f503ef83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19411972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koenig, Steven B</creatorcontrib><creatorcontrib>Wirostko, William J</creatorcontrib><creatorcontrib>Fish, Robert I</creatorcontrib><creatorcontrib>Covert, Douglas J</creatorcontrib><title>Candida Keratitis After Descemet Stripping and Automated Endothelial Keratoplasty</title><title>Cornea</title><addtitle>Cornea</addtitle><description>PURPOSE:To report the donor-to-host transmission of Candida albicans after Descemet stripping and automated endothelial keratoplasty (DSAEK).
METHODS:An 80-year-old woman with pseudophakic bullous keratopathy developed an infiltrate in the donor corneal lenticule after DSAEK.
RESULTS:Donor corneoscleral rim cultures grew C. albicans. Gram stain of the removed corneal lenticule demonstrated budding yeast and pseudohyphae, and cultures yielded C. albicans. Despite topical and systemic antifungal therapy and therapeutic penetrating keratoplasty, the patient developed a blind painful eye and underwent enucleation.
CONCLUSIONS:This case report indicates that fungal keratitis may occur from donor-to-host transmission after DSAEK. The location of the infected tissue poses diagnostic and therapeutic challenges for the surgeon.</description><subject>Aged, 80 and over</subject><subject>Candida albicans - isolation & purification</subject><subject>Candidiasis - microbiology</subject><subject>Candidiasis - surgery</subject><subject>Candidiasis - transmission</subject><subject>Cornea - microbiology</subject><subject>Corneal Transplantation - adverse effects</subject><subject>Descemet Membrane - surgery</subject><subject>Disease Transmission, Infectious</subject><subject>Endothelium, Corneal - transplantation</subject><subject>Eye Infections, Fungal - microbiology</subject><subject>Eye Infections, Fungal - surgery</subject><subject>Eye Infections, Fungal - transmission</subject><subject>Female</subject><subject>Humans</subject><subject>Keratitis - microbiology</subject><subject>Keratitis - surgery</subject><subject>Keratoplasty, Penetrating</subject><subject>Tissue Donors</subject><issn>0277-3740</issn><issn>1536-4798</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE9r3DAUxEVoSbZJvkEoPvXm9Emy9ee4bDdtaCCUJmchW09Zp_LalWRCvn1UdiHQw2N4MDMMP0KuKFxT0PLr7eb-GjqgHDlVVFmnu_6ErGjLRd1IrT6QFTApay4bOCOfUnoGACkFOyVnVDeUaslW5NfG7t3gbPUTo81DHlK19hlj9Q1TjyPm6neOwzwP-6eqOKv1kqfRZnTVdu-mvMMw2HAIT3OwKb9ekI_ehoSXRz0njzfbh82P-u7---1mfVf3DRW05kwrjcIy1nTOa8Va8EoKqrx1TnXeW29b6HulBWdltwIp2k5Y5Vvg6BU_J18OvXOc_i6YshmHMjkEu8dpSUZIqrhgUIzNwdjHKaWI3sxxGG18NRTMP5SmoDT_oyyxz8f-pRvRvYeO7N57X6ZQiKU_YXnBaHZoQ96ZAhs4Y6JmABra8tXlGOVvB2iAvg</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>Koenig, Steven B</creator><creator>Wirostko, William J</creator><creator>Fish, Robert I</creator><creator>Covert, Douglas J</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200905</creationdate><title>Candida Keratitis After Descemet Stripping and Automated Endothelial Keratoplasty</title><author>Koenig, Steven B ; Wirostko, William J ; Fish, Robert I ; Covert, Douglas J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4161-32989e6a224bdf98250f87618fadd8bffafa50cc8963207780765b6a8f503ef83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged, 80 and over</topic><topic>Candida albicans - isolation & purification</topic><topic>Candidiasis - microbiology</topic><topic>Candidiasis - surgery</topic><topic>Candidiasis - transmission</topic><topic>Cornea - microbiology</topic><topic>Corneal Transplantation - adverse effects</topic><topic>Descemet Membrane - surgery</topic><topic>Disease Transmission, Infectious</topic><topic>Endothelium, Corneal - transplantation</topic><topic>Eye Infections, Fungal - microbiology</topic><topic>Eye Infections, Fungal - surgery</topic><topic>Eye Infections, Fungal - transmission</topic><topic>Female</topic><topic>Humans</topic><topic>Keratitis - microbiology</topic><topic>Keratitis - surgery</topic><topic>Keratoplasty, Penetrating</topic><topic>Tissue Donors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koenig, Steven B</creatorcontrib><creatorcontrib>Wirostko, William J</creatorcontrib><creatorcontrib>Fish, Robert I</creatorcontrib><creatorcontrib>Covert, Douglas J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cornea</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koenig, Steven B</au><au>Wirostko, William J</au><au>Fish, Robert I</au><au>Covert, Douglas J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Candida Keratitis After Descemet Stripping and Automated Endothelial Keratoplasty</atitle><jtitle>Cornea</jtitle><addtitle>Cornea</addtitle><date>2009-05</date><risdate>2009</risdate><volume>28</volume><issue>4</issue><spage>471</spage><epage>473</epage><pages>471-473</pages><issn>0277-3740</issn><eissn>1536-4798</eissn><abstract>PURPOSE:To report the donor-to-host transmission of Candida albicans after Descemet stripping and automated endothelial keratoplasty (DSAEK).
METHODS:An 80-year-old woman with pseudophakic bullous keratopathy developed an infiltrate in the donor corneal lenticule after DSAEK.
RESULTS:Donor corneoscleral rim cultures grew C. albicans. Gram stain of the removed corneal lenticule demonstrated budding yeast and pseudohyphae, and cultures yielded C. albicans. Despite topical and systemic antifungal therapy and therapeutic penetrating keratoplasty, the patient developed a blind painful eye and underwent enucleation.
CONCLUSIONS:This case report indicates that fungal keratitis may occur from donor-to-host transmission after DSAEK. The location of the infected tissue poses diagnostic and therapeutic challenges for the surgeon.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>19411972</pmid><doi>10.1097/ICO.0b013e31818ad9bc</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0277-3740 |
| ispartof | Cornea, 2009-05, Vol.28 (4), p.471-473 |
| issn | 0277-3740 1536-4798 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged, 80 and over Candida albicans - isolation & purification Candidiasis - microbiology Candidiasis - surgery Candidiasis - transmission Cornea - microbiology Corneal Transplantation - adverse effects Descemet Membrane - surgery Disease Transmission, Infectious Endothelium, Corneal - transplantation Eye Infections, Fungal - microbiology Eye Infections, Fungal - surgery Eye Infections, Fungal - transmission Female Humans Keratitis - microbiology Keratitis - surgery Keratoplasty, Penetrating Tissue Donors |
| title | Candida Keratitis After Descemet Stripping and Automated Endothelial Keratoplasty |
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