Fungal Keratitis, Epidemiology and Outcomes in a Tropical Australian Setting

被引:1
作者
Kim, Leah N. [1 ]
Karthik, Hema [1 ]
Proudmore, Kate Elizabeth [2 ]
Kidd, Sarah Elizabeth [3 ]
Baird, Robert William [2 ]
机构
[1] Royal Darwin Hosp, Ophthalmol Dept, 105 Rocklands Dr, Tiwi, NT 0811, Australia
[2] Royal Darwin Hosp, Terr Pathol, 105 Rocklands Dr, Tiwi, NT 0811, Australia
[3] SA Pathol, Natl Mycol Reference Ctr, Microbiol & Infect Dis, Frome Rd, Adelaide, SA 5000, Australia
关键词
tropical; fungal; keratitis;
D O I
10.3390/tropicalmed9060127
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Fungal keratitis is an ophthalmic emergency that can cause visual impairment and blindness. We reviewed the epidemiology and clinical features of fungal keratitis in a tropical Australian setting. Objectives: To document the clinical and microbiological characteristics of fungal keratitis in an Australian tropical setting. Methods: A retrospective cohort study of patients with fungal keratitis from October 2014 to December 2022 was conducted at Royal Darwin Hospital, Northern Territory, Australia. We reviewed all patients with culture-proven fungal keratitis and their outcomes. Results: There were 31 patients identified. Aboriginal and Torres Strait Islander (ATSI) patients were of a significantly younger median age (28 years) compared to non-ATSI patients (42 years), and they also presented later to health care. Contact lens use and ocular trauma were the most common predisposing factors. Most patients presented with a corneal infiltrate and corneal epithelial defect, and the central visual axis was affected in 54% of patients. Curvularia spp. and Fusarium spp. were the commonest causative fungi (39% and 30% respectively). Conclusions: Our series is different and reveals a wider range of fungal species identified over the 7 years of the study, in particular, a range of Curvularia spp. were detected. Access to eye health services in rural and remote settings is important, particularly for ATSI patients, as morbidity remains high.
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页数:9
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