case_images: PMC6324099_01
case_images: (a) Slit lamp photograph of the right eye in diffuse illumination showing a central ring-shaped anterior to mid stromal dry infiltrate (4 mm x 5 mm) with dense focus of infiltrate within the ring. (b) Slit lamp photograph of the right eye with sclerotic scatter highlighting the central scar
case_images: IJO-67-150-g001.jpg
case_images: PMC6324099_01_IJO-67-150-g001.jpg
case_images: F1
case_images: The cornea had an epithelial defect with an underlying anterior to mid-stromal ring-shaped infiltrate with hyphate edges measuring 5 x 4 mm (Haag Streit, BM 900, USA) and a smaller dense central infiltrate within [Fig. 1a]. Natamycin (5%) eye drops half hourly, tapered fortnightly to 8 times a day and continued 2 weeks beyond complete resolution with oral ketoconazole 200 mg twice daily for 6 weeks cured her infection in 4 months [Fig. 1b], At the last follow-up, her unaided visual acuity in the right eye was 20/200 with no further improvement owing to the central scar.
case_images: (a) Pseudopestalotiopsis theae conidiomata sporulating on potato dextrose agar at day 20. (b) Lactophenol cotton blue mount (1000x magnification) showing fusoid 4-septate conidia with slight constrictions at the septae and conical basal cell with truncated base. The 3 median cells are concolorous and brown with darker colored septae. The conical apical cells have filiform branched appendages. (c) ITS sequence analysis generated a phylogram which shows that our sample GMRV-L 825/15 has 99% similarity with Pseudopestalotiopsis theae
case_images: IJO-67-150-g002.jpg
case_images: PMC6324099_01_IJO-67-150-g002.jpg
case_images: F2
case_images: Further, incubation of PDA showed black shiny dots in the center with irregular surface [Fig. 2a], Lactophenol cotton blue mount showed brown septate hyphae and characteristic 5-celled brown spores with fine appendages at the tip [Fig. 2b], resembling spores of Pestalotiopsis.