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Case Reports in Infectious Diseases
Volume 2013, Article ID 851875, 3 pages
Case Report

A Severe Case of Arthrographis kalrae Keratomycosis

1Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Wilayah Persekutuan, Malaysia
2Pathology Department, Hospital Raja Permaisuri Bainun, Jalan Hospital, 30990 Ipoh, Perak, Malaysia
3Ophthalmology Department, Hospital Seri Manjung, 32040 Manjung, Perak, Malaysia
4Department of Medical Microbiology and Immunology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Kuala Lumpur, Wilayah Persekutuan, Malaysia

Received 5 September 2013; Accepted 15 October 2013

Academic Editors: P. O. Sumba and X. Vallès

Copyright © 2013 Siti Roszilawati Ramli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 52-year-old man with diabetes developed a unilateral central corneal ulcer after accidental foreign body inoculation. He complained of pain and loss of visual acuity in the injured eye, which displayed redness and edema and eventually discharged pus. A corneal scraping from the left eye orbit revealed fungal elements, and cultures of the material grew a fungus. The isolate was identified as Arthrographis kalrae based on gross and microscopic morphologies. The patient received amphotericin B intravenously and itraconazole orally. The wound healed following surgical intervention, but the patient lost the use of his left eye.