Unbound MEDLINE

Fungal keratitis in a gopher tortoise (Gopherus polyphemus).

Abstract

A free-ranging gopher tortoise (Gopherus polyphemus) presented for trauma and blindness. Fibrinous exudate obscured visualization of the globes. This exudative crust extended from the conjunctival fornices through the palpebral fissure and was manually removed. Ophthalmic examination revealed bilateral corneal ulcerations and scarring and phthisis bulbi of the left globe. Histology of the crust revealed a necrotic conjunctivitis with intralesional fungal hyphae. Culture of the corneal ulcer of the left eye isolated moderate growth of a mixed fungal flora consisting of Curvularia sp. and Aspergillus sp. Miconazole ophthalmic solution was administered and the ulcers in both eyes healed, but corneal edema continued. After 2 mo of treatment with miconazole, tramadol, acetylcysteine, hypertonic saline ointment, artificial tears, and hypertonic saline flushes, the right eye was normal with only a small scar. The left eye remained phthisical. This is the first report of fungal keratitis in a wild reptile and a gopher tortoise.

Authors

Myers DA, Isaza R, Ben-Shlomo G, Abbott J, Plummer CE

Source

Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians 40:3 2009 Sep pg 579-82

MeSH

Animals
Animals, Wild
Antifungal Agents
Corneal Ulcer
Eye Infections, Fungal
Hyphae
Male
Treatment Outcome
Turtles

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19746878