Rhodotorula rubra keratitis and melting after repeated penetrating keratoplasty

T. Lifshitz, Jaime Levy

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

PURPOSE. To describe a rare case of Rhodotorula rubra keratitis in a corneal graft, and to discuss the management of this unusual pathogen. METHODS. A 78-year-old debilitated man was treated for corneal abscess and descemeiocele in his right eye. Urgent penetrating keratoplasty (PKP) with old donor material was performed. The patient underwent a new PKP when appropriate donor cornea was available. The graft was clear after the operation. Corneal cultures were negative. RESULTS. One month after the second PKP procedure, deep stromal infiltrate with hypopyon appeared. Cultures grew R. rubra. A third PKP operation was performed. Systemic and topical amphotericin B treatment was started. Six months after the last operation the graft remains clear. CONCLUSIONS. Rhodotorula keratitis is an extremely rare infection that should be considered in debilitated patients with persistent and progressive corneal infection despite adequate antibiotic therapy.

Original languageEnglish
Pages (from-to)135-137
Number of pages3
JournalEuropean Journal of Ophthalmology
Volume15
Issue number1
DOIs
StatePublished - 1 Jan 2005
Externally publishedYes

Keywords

  • Keratitis
  • Penetrating keratoplasty
  • Rhodotorula rubra

ASJC Scopus subject areas

  • Ophthalmology

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