Endophthalmitis Caused by Petriellidium boydii

Abstract

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