First Report of a Case of Ocular Infection Caused by <i>Purpureocillium lilacinum</i> in Poland
Robert Kuthan,
Anna K. Kurowska,
Justyna Izdebska,
Jacek P. Szaflik,
Anna Lutyńska,
Ewa Swoboda-Kopeć
Affiliations
Robert Kuthan
Department of Medical Microbiology, Medical University of Warsaw, 5 Chałubińskiego Street, 02-004 Warsaw, Poland
Anna K. Kurowska
Department of Ophthalmology, Medical University of Warsaw, 24/26 Marszałkowska Street, 00-576 Warsaw, Poland
Justyna Izdebska
Department of Ophthalmology, Medical University of Warsaw, 24/26 Marszałkowska Street, 00-576 Warsaw, Poland
Jacek P. Szaflik
Department of Ophthalmology, Medical University of Warsaw, 24/26 Marszałkowska Street, 00-576 Warsaw, Poland
Anna Lutyńska
Department of Medical Biology, National Institute of Cardiology Stefan Cardinal Wyszyński State Research Institute, 42 Alpejska Street, 04-628 Warsaw, Poland
Ewa Swoboda-Kopeć
Department of Medical Biology, National Institute of Cardiology Stefan Cardinal Wyszyński State Research Institute, 42 Alpejska Street, 04-628 Warsaw, Poland
This report describes the first case of an ocular infection induced by Purpureocillium lilacinum in Poland. The patient was a 51-year-old immunocompetent contact lens user who suffered from subacute keratitis and progressive granulomatous uveitis. He underwent penetrating keratoplasty for corneal perforation, followed by cataract surgery due to rapid uveitic cataract. A few weeks later, intraocular lens removal and pars plana vitrectomy were necessary due to endophthalmitis. The patient was treated with topical, systemic, and intravitreal voriconazole with improvement; however, the visual outcome was poor. The pathogen was identified by MALDI-TOF MS.