Evidence map›Paper›PMID 29705891›Full record

ArticleInternational ophthalmology2019

Keratomycosis due to Tintelnotia destructans refractory to common therapy treated successfully with systemic and local terbinafine in combination with polyhexamethylene biguanide.

Wolfgang J Behrens-Baumann, Wolfram Hofmüller, Ina Tammer, Kathrin Tintelnot

Abstract readCase Reports
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In one paragraph

Article in International ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Open forum infectious diseases · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Update on the management of fungal keratitis.International ophthalmology · 2021
    Review
  7. American journal of ophthalmology case reports · 2020
    Article
  8. Contact lens associated keratitis due toMedical mycology case reports · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Wolfgang J Behrens-BaumannDepartment of Ophthalmology, Otto von Guericke University, Magdeburg, Germany.
Wolfram HofmüllerDepartment of Ophthalmology, Otto von Guericke University, Magdeburg, Germany.
Ina TammerDepartment of Medical Microbiology, Otto von Guericke University, Magdeburg, Germany.
Kathrin TintelnotMycotic and Parasitic Agents and Mycobacteria, Robert Koch-Institute, Nordufer 20, 13353, Berlin, Germany. tintelnotk@rki.de.ORCID http://orcid.org/0000-0002-5788-1502
Otto-von-Guericke-Universität Magdeburg · DERobert Koch Institute · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report on a wearer of rigid gas-permeable contact lenses with a keratomycosis due to Tintelnotia-a new genus of Phaeosphaeriaceae-treated with terbinafine and polyhexamethylene biguanide.

methodsChart review of a patient with fungal keratitis treated additionally with systemic and topical terbinafine 0.25% after symptoms increased under conventional antimycotic therapy with voriconazole. Antifungal susceptibility had been tested in vitro.

resultsAfter starting an additional treatment with systemic and topical terbinafine, the severe corneal infection was sufficiently resolved. The drug was well tolerated without any neurological, dermatological or gastroenterological problems. Terbinafine revealed a marked in vitro antifungal activity of 0.12 µg/ml. The fungus was identified as Tintelnotia destructans.

conclusionsTerbinafine might be considered as a therapeutic option in severe cases of fungal keratitis refractory to common antifungal therapy.

Indexed as

AdultAntifungal AgentsAscomycotaBiguanidesDisinfectantsHumansKeratitisTerbinafineAntifungal AgentsBiguanidesDisinfectantspolihexanideTerbinafineFungal keratitisPhaeosphaeriaceaePHMBTerbinafineTintelnotiaVoriconazole

Identifiers

PMID29705891
OpenAlexW2801838297

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.