April 1981

Endophthalmitis Caused by Petriellidium boydii

Author Affiliations

Department of Pediatrics University of Chicago 5825 S Maryland Ave Chicago, IL 60637

Am J Dis Child. 1981;135(4):378-380. doi:10.1001/archpedi.1981.02130280068025

Fungal endophthalmitis is an increasingly common disease entity. Predisposing factors most frequently cited include parenteral hyperalimentation catheters, severe burns, long-term administration of broad-spectrum antibiotics, and immunosuppressive therapy, especially high-dose corticosteroid therapy.1Candida species, especially C albicans, are the most prevalent of the fungal organisms associated with endophthalmitis. We report a case of fungal endophthalmitis caused by Petriellidium boydii, a fungus more commonly associated with cutaneous mycetoma. To our knowledge, this is the first reported instance of P boydii endophthalmitis in the pediatric literature, and the third case ever reported.

Report of a Case.—A 15-year-old girl had a medical history that was remarkable only for idiopathic epilepsy diagnosed at age 9, for which she received oral anticonvulsant therapy. Two weeks prior to admission, she apparently suffered a grand mal seizure while riding her bicycle. Discovered apneic, face down in a puddle of muddy water, she was resuscitated and

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