Evidence map›Paper›PMID 41233760›Full record

ArticleBMC infectious diseases2025

Clinical features, microbiological characteristics, and treatment outcomes of fungal keratitis in a tertiary referral hospital in Eastern China.

Jianfeng Yu, Qin Zhang, Kai Fan, Jiawei Luo, Pengfei Li, Chengyao Zheng, Pingping Liu, Huaijin Guan

Abstract read
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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jianfeng Yu *Eye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China. yujianfeng@ntu.edu.cn.
Qin Zhang *Eye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Kai FanEye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Jiawei LuoEye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Pengfei LiEye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Chengyao ZhengEye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Pingping LiuOphthalmology Department, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu Province, China.
Huaijin GuanEye Institute, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China. guanhjeye@163.com.

Funding

Jiangsu Province Senile Health Scientific Research Project LKM2024015Scientific Research Project of Affiliated Hospital of Nantong University Tfj20019
6 · The paper itself

Abstract

backgroundFungal keratitis (FK) is a serious corneal disease that was considered as the main cause of vision loss in developing countries. Early diagnosis and timely treatment of FK can significantly strengthen the curative effect and decrease the risk of the blindness. The fungal spectrum varies and is closely associated with climate and geographic location. The clinical characteristics of FK in eastern China are limited. We explored the risk factors, fungal species, characteristics of in vivo confocal microscopy (IVCM), and treatment of FK in a tertiary referral hospital in eastern China.

methodsThis retrospective study encompassed a thorough analysis of clinical data, IVCM images, and fungal cultures in FK between January 2021 and May 2024. The clinical profiles, microbial characteristics, and therapeutic outcomes of these patients were meticulously analyzed.

resultsA total of 174 patients were diagnosed with FK. Seven fungal species were identified in 104 culture-positive cases. Fusarium was the most common species (49.04%), followed by Alternaria (23.08%) and Aspergillus (15.38%). 166 (95.4%) patients showed evidence of mycelia or spores in IVCM images. Diverse fungal strains typically showed varied culture characteristics and IVCM expressions. 42 (24.14%) patients were successfully treated with topical medicine alone, and 132 (75.86%) patients needed additional surgical therapies, including intrastromal injections of voriconazole (38.51%), conjunctival pedicle flap surgery (8.05%), lamellar keratoplasty (22.41%), penetrating keratoplasty (4.02%), and enucleation (2.87%). Visual acuity improved in 104 patients (59.77%), but remained unchanged in 36 (20.69%) patients and decreased in 34 patients (19.54%) following active treatment. CONCLUSIONS FUSARIUM: was the most frequently isolated species, followed by Alternaria and Aspergillus.

Indexed as

Antifungal AgentsEye Infections, FungalKeratitisAdolescentAdultAgedChinaFemaleFungiHumansMaleMicroscopy, ConfocalMiddle AgedRetrospective StudiesRisk FactorsTertiary Care CentersAntifungal AgentsAlternariaAntifungal therapyAspergillusCorneal infectionFusariumIn vivo confocal microscopy

Identifiers

PMID41233760
PMCPMC12613570

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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.