PMC8024464_01
(A) Corneal abscess with fibrinous branches. (B) Collection of purulent inflammatory exudate.
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F1
On local examination, corneal abscess with a collection of purulent inflammatory exudate of ~1 mm in size was observed (Figure 1).
(A,B) Condition after corneal transplant at the time of discharge. (C) Appearance of hypopyon and abscess (D) at the time of the second hospitalization.
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F2
On the 26th day after the transplant, she was hospitalized again due to a worsening of her clinical condition (Figure 2).
(A) Explanted corneal flap. (B) Direct examination of the corneal flap with 15% KOH (original magnification x40); (C) growth on Sabouraud Dextrose Agar with gentamycin and chloramphenicol after 7 days of incubation at 32 C; (D) Microscopic structure of the colony showing long monophialidic conidiogenous cells and numerous microconidia of F. solani.
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F3
The results of the mycological examinations are shown in Figure 3.
Condition after the second transplant.
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F4
The patient was put on topical voriconazole eye drops every h and voriconazole 200 mg i.v. twice a day, and there was an almost immediate improvement of her eye condition (Figure 4).