Case report shows effective treatment of a rare corneal ulcer with voriconazole in an immunocompetent individual, suggesting awareness of uncommon pathogens is vital.
Key Points
To report a rare case of a fungal corneal ulcer caused by Purpureocillium lilacinum and its treatment.
51-year-old female contact lens wearer with corneal ulcer
Intrastromal voriconazole injection administered
Corneal biopsy performed to confirm diagnosis.
Patient initially unresponsive to topical and systemic antifungals
Significant improvement after intrastromal voriconazole injection
First reported successful case of this treatment for this pathogen.