[Fungal keratitis with annular infiltration and hypopyon]. / Kératite mycosique avec infiltrat annulaire et hypopion.

ABSTRACT

Fungal keratitis is a rare disease in Northern Europe. We report the case of a 57-year-old female suffering from a paracentral corneal ulcer, following minor corneal trauma with a branch of a tree. Clinically, the ulcer was associated with a ring infiltrate and a hypopyon. Corneal smears and cultures were negative. As the corneal lesions and the hypopyon progressed despite maximal treatment, penetrating keratoplasty was performed on the assumption of a fungal origin. Histopathologic examination revealed pseudohyphae, morphologically compatible with a candida species. The clinical picture, its differential diagnosis and the diagnostic methods are discussed.