Case Report. Nattrassia mangiferae endophthalmitis

Summary.  Nattrassia mangiferae is a plant pathogen that is also known as a cause of skin infection in humans. Reports of invasive human infection are extremely rare. A 60‐year‐old‐immunocompetent patient presented with endophthalmitis one week after the left eye was injured by a piece of grass. Cultures of an aqueous tap grew N. mangiferae. The patient responded to oral ketoconazole. This suggests that N. mangiferae may be an invasive pathogen in plant penetration injuries and that ketoconazole may be an alternative treatment, especially in countries with poor resources.

[1]  J. Heitman Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases , 2000 .

[2]  J. Galgiani,et al.  Invasive Nattrassia mangiferae infections: case report, literature review, and therapeutic and taxonomic appraisal , 1997, Journal of clinical microbiology.

[3]  M. Levi,et al.  Posttraumatic infection due to Scytalidium dimidiatum. , 1994, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[4]  S. Nightingale Therapy for human immunodeficiency virus-infected patients with infections due to Mycobacterium avium complex. , 1994, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[5]  R. Forster,et al.  Scytalidium dimidiatum fungal endophthalmitis. , 1993, The British journal of ophthalmology.

[6]  R. Hay,et al.  Clinical features of superficial fungal infections caused by Hendersonula toruloidea and Scytalidium hyalinum , 1984, The British journal of dermatology.

[7]  R. Nattrass A new species of Hendersonula (H. Toruloidea) on deciduous trees in Egypt , 1933 .