Granulomatous Necrotizing Retinochoroiditis Caused by Sporotrichum schenkii

Font, Ramon L.

doi:10.1001/archopht.1976.03910040347009

Cited by 41 publications

(6 citation statements)

References 13 publications

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“…Cassady & Foester [14] and Font & Jakobiec [16] reported a 50and a 42-year-old patient, respectively, with a clinical presentation differing from that reported here, essentially involving the retina and choroid. In both cases the aetiological diagnosis was made after enucleation (4 and 6 months after the onset of the disease respectively) on the basis of histopathological examinations that demonstrated many cigar-shaped organisms mor- As also reported for the previously cited cases, the patient of Cassady & Foester [14] was healthy, whereas the patient of Font & Jakobiec [lS] had diabetes mellitus and was an alcoholic.…”

Section: Discussioncontrasting

confidence: 47%

“…[16] reported a 50-and a 42-year-old patient, respectively, with a clinical presentation differing from that reported here, essentially involving the retina and choroid. In both cases the aetiological diagnosis was made after enucleation (4 and 6 months after the onset of the disease respectively) on the basis of histopathological examinations that demonstrated many cigar-shaped organisms mor-phologically consistent with Sb.…”

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confidence: 45%

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Ocular and concomitant cutaneous sporotrichosis

Vieira-Dias¹,

Sena²,

Oréfice³

et al. 1997

Mycoses

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Section: Discussioncontrasting

confidence: 47%

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confidence: 45%

Ocular and concomitant cutaneous sporotrichosis

Vieira-Dias¹,

Sena²,

Oréfice³

et al. 1997

Mycoses

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“…Fungi, such as Trichosporon and Sporotrichum schenkii, involving the retina and choroid have been reported (7,8). Tinea corporis is a common fungal infection seen in the developing world.…”

Section: Discussionmentioning

confidence: 99%

A rare case report of panuveitis with retinochoroidal involvement, retinitis, and retinal vasculitis due to extensive tinea corporis

Konana¹,

Babu²

2023

Front. Ophthalmol.

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A 40-year-old Asian Indian woman, diagnosed as having idiopathic panuveitis (elsewhere) 3 years earlier and being treated with oral steroids (20 mg/day) and methotrexate (25 mg/week), presented to us with worsening vision in both eyes. Her best corrected visual acuity (BCVA) was perception of light in her right eye and counting fingers close to face in her left eye. A slit lamp examination showed an anterior chamber (AC) reaction (1+) in both eyes with posterior synechia, a total cataract in her right eye, and pseudophakia in her left eye. The left fundus showed vitritis, vitreous membranes, chorioretinitis, multifocal areas of retinitis, and retinal vascular sheathing. A systemic examination showed extensive multifocal areas of tinea corporis on the hands and torso. Owing to the leukocytosis (22,000 cells/mm3), diagnostic vitrectomy was initially deferred and 100 mg of oral itraconazole was given twice a day for 3 months. The vitritis improved a little and her total white blood cell (WBC) count improved with treatment of the skin infection. Following a diagnostic vitrectomy later in her left eye, resolving areas of retinitis were seen. Complete resolution of eye inflammation was seen at the end of 6 weeks. At the 6-month follow-up, her BCVA was 6/18 in left eye and she was off oral steroids and methotrexate, with no recurrence of inflammation. We speculate a probable association between the ocular inflammation and extensive tinea corporis based on the therapeutic response to itraconazole.

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“…Sporotrichosis is a mycosis that predominantly affects the skin of the lower and upper limbs (hands, forearms, feet, and legs) and may also affect the face [26]. The eyes may be affected, with intraocular involvement, in the form of endophthalmitis, retinal granuloma, granulomatous necrotizing retinochoroiditis, and granulomatous uveitis, or the extraocular form, affecting tissues adjacent to the bulb and ocular adnexa [6,11,27,28].…”

Section: Discussionmentioning

confidence: 99%

Identification by MALDI-TOF MS of Sporothrix brasiliensis Isolated from a Subconjunctival Infiltrative Lesion in an Immunocompetent Patient

et al. 2019

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Sporotrichosis is a globally distributed subcutaneous fungal infection caused by dimorphic fungi belonging to the Sporothrix species complex that affects the skin of limbs predominantly, but not exclusively. A rare case of ocular sporotrichosis in an immunocompetent Brazilian patient from the countryside of Rio de Janeiro State is reported. A 68-year-old woman presented with a subconjunctival infiltrative lesion in the right eye with pre-auricular lymphadenopathy of onset 4 months ago that evolved to suppurative nodular lesions on the eyelids. Conjunctival secretion was evaluated by histopathological examination and inoculated on Sabouraud Dextrose Agar (SDA). Histopathology showed oval bodies within giant cells and other mononucleated histiocytes. Fungus grown on SDA was identified as Sporothrix sp. by morphological observations. The isolated strain was finally identified by Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) associated with an in-house database enriched with reference Sporothrix complex spectra. The strain presented a MALDI spectrum with the ion peaks of the molecular mass profile of S. brasiliensis. The patient was adequately treated with amphotericin B subsequently replaced by itraconazole. Due to scars left by the suppurative process, the patient presented poor final visual acuity. The present work presents an overview of ocular sporotrichosis and discusses the diagnostic difficulty that can lead to visual sequelae in these cases.

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Granulomatous Necrotizing Retinochoroiditis Caused by Sporotrichum schenkii

Cited by 41 publications

References 13 publications

Ocular and concomitant cutaneous sporotrichosis

Ocular and concomitant cutaneous sporotrichosis

A rare case report of panuveitis with retinochoroidal involvement, retinitis, and retinal vasculitis due to extensive tinea corporis

Identification by MALDI-TOF MS of Sporothrix brasiliensis Isolated from a Subconjunctival Infiltrative Lesion in an Immunocompetent Patient

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