A case of non-traumatic Purpureocillium lilacinum (Paecilomyces lilacinus) endophthalmitis in a child

Harrison Y Bennett; Shaheen P Shah

doi:10.1016/j.ajoc.2022.101375

A case of non-traumatic Purpureocillium lilacinum (Paecilomyces lilacinus) endophthalmitis in a child

Am J Ophthalmol Case Rep. 2022 Feb 9:26:101375. doi: 10.1016/j.ajoc.2022.101375. eCollection 2022 Jun.

Authors

Harrison Y Bennett^{1

2}, Shaheen P Shah²

Affiliations

¹ University of Queensland, School of Medicine, Australia.
² Queensland Childrens Hospital, 501 Stanley St, South Brisbane, QLD, 4101, Australia.

Abstract

Purpose: The aim of this report is to cover a novel presentation and subsequent management of Purpureocillium (Paecilomyces) oculomycosis in a child, and to review the available literature on Purpureocillium endophthalmitis.

Observations: This report is of a four year old boy from Australia. There have been 13 previous reports of Purpureocillium endophthalmitis, comprising 30 adult cases.

Conclusions: AND IMPORTANCE. Purpureocillium is an emerging ocular infection, associated with use of this fungus as a biological control agent. This case highlights the importance of early consideration of intraocular fluid sampling in a case of vitritis non-responsive to steroid treatment. statementThe first reported case of atraumatic Purpureocillium lilacinum endophthalmitis, occurring in a child. All published Purpureocillium endophthalmitis cases are reviewed.

Keywords: Australia; Endophthalmitis; Fungal; Purpureocillium.

Publication types

Case Reports