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Mycotic keratitis in children: epidemiologic and microbiologic evaluation.
Cornea. 1997 May; 16(3):295-9.C

Abstract

PURPOSE

To evaluate the demographic features, clinical profile, and laboratory diagnosis in cases of mycotic keratitis in children.

METHODS

We retrospectively analyzed 211 cases of mycotic keratitis in children younger than 16 years over a 5-year period in a tertiary eye center. Culture-proven cases of fungal keratitis were reviewed.

RESULTS

Trauma was the most common predisposing factor (55.3%), followed by associated systemic illness (11.2%), previous ocular surgery (9.8%), and others. Corneal injury contaminated with vegetable matter was responsible for 60.5% of traumatic cases. Aspergillus species were the most frequent isolates (39.5%). Others included Fusarium (10.7%), Alternaria (10.2%), Curvularia (7.4%), and Penicillium (7%). A seasonal variation in the incidence of mycotic keratitis revealed a peak incidence in the months of September and October. One hundred sixty-two children (76.7%) cooperated for examination and scraping under topical anesthesia with or without sedation. General anesthesia for scraping was required in 49 (23%) of 211 children for corneal scraping. Gram stains of corneal scraping were positive for hyphal elements in 54.5% of cases, and potassium hydroxide wet-mount preparation was positive in 90.2% of cases.

CONCLUSIONS

This study highlights important risk factors and organisms responsible for mycotic keratitis in children.

Authors+Show Affiliations

Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9143801

Citation

Panda, A, et al. "Mycotic Keratitis in Children: Epidemiologic and Microbiologic Evaluation." Cornea, vol. 16, no. 3, 1997, pp. 295-9.
Panda A, Sharma N, Das G, et al. Mycotic keratitis in children: epidemiologic and microbiologic evaluation. Cornea. 1997;16(3):295-9.
Panda, A., Sharma, N., Das, G., Kumar, N., & Satpathy, G. (1997). Mycotic keratitis in children: epidemiologic and microbiologic evaluation. Cornea, 16(3), 295-9.
Panda A, et al. Mycotic Keratitis in Children: Epidemiologic and Microbiologic Evaluation. Cornea. 1997;16(3):295-9. PubMed PMID: 9143801.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mycotic keratitis in children: epidemiologic and microbiologic evaluation. AU - Panda,A, AU - Sharma,N, AU - Das,G, AU - Kumar,N, AU - Satpathy,G, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 295 EP - 9 JF - Cornea JO - Cornea VL - 16 IS - 3 N2 - PURPOSE: To evaluate the demographic features, clinical profile, and laboratory diagnosis in cases of mycotic keratitis in children. METHODS: We retrospectively analyzed 211 cases of mycotic keratitis in children younger than 16 years over a 5-year period in a tertiary eye center. Culture-proven cases of fungal keratitis were reviewed. RESULTS: Trauma was the most common predisposing factor (55.3%), followed by associated systemic illness (11.2%), previous ocular surgery (9.8%), and others. Corneal injury contaminated with vegetable matter was responsible for 60.5% of traumatic cases. Aspergillus species were the most frequent isolates (39.5%). Others included Fusarium (10.7%), Alternaria (10.2%), Curvularia (7.4%), and Penicillium (7%). A seasonal variation in the incidence of mycotic keratitis revealed a peak incidence in the months of September and October. One hundred sixty-two children (76.7%) cooperated for examination and scraping under topical anesthesia with or without sedation. General anesthesia for scraping was required in 49 (23%) of 211 children for corneal scraping. Gram stains of corneal scraping were positive for hyphal elements in 54.5% of cases, and potassium hydroxide wet-mount preparation was positive in 90.2% of cases. CONCLUSIONS: This study highlights important risk factors and organisms responsible for mycotic keratitis in children. SN - 0277-3740 UR - https://www.unboundmedicine.com/medline/citation/9143801/Mycotic_keratitis_in_children:_epidemiologic_and_microbiologic_evaluation_ L2 - http://Insights.ovid.com/pubmed?pmid=9143801 DB - PRIME DP - Unbound Medicine ER -