Epidemiologic and Microbiologic profile of Fungal keratitis in Rohilkhand region
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Purpose: To report epidemiologic andAbstract
microbiologic profi e of 106 culture positive cases
of funqa keratitis at a teritary centre in
Rohiikhand region ofWestern Uttar Pradesh.
lvlethods: Cllnica and microbio ogical records of
106 culture positive cases of funga keratitis
reported over a period o{ 2 years between June
2012 and May 2014 were anayzed. Revlew of
demographia features , clnica course , risk
factors and laboratory findings were done
retrospectively.
Results: Of the 106 patients, 68 (64%) were
males (male:ferna e ratla 1,.79:1),77 (72.60/.) werc
in age group between 20 and 45 (mean age 37.6),
83(78%) were rural based agricuture workers.
OculaT trauma was reported in 83 (78.3%) cases.
Time of reporting followlng advent of symptoms
ranged from 1.3 to 6.8 weeks (avg. 2.4 weeks). 89
Patients (83.96%) were already on multidrug
therapy inc uding steroids and antibiotics at the
time of presentation.
Microbiologlcaly, Fusarium species were the
predominant iso ates in 58 cases (54.7%) fol owed
by Aspergi lus in 28(26.4%), Candida in 12(11.37o),
02 cases ofAlternaria and Curvularia and solitary
cases of Nocardia & Scedosporium.02 strains
remained unidentified. Mode of injury had a
causal relationship with et ologic agent ;
Fusarium with vegetative injuries 36 (62.A6o/d ,
Asperqillus with exposure to soil/dust, 17
(60.71%)and candida wlth prolonged antibiotic
and steroid use in 8 (66.6%) eyes. Coexisting
ocular surface disorders & systemic diseases were
present in 9 (8.4%) 8t 7 (6.6%) of the funga
keratitis cases, respectively.
Conclusion: Epidemioloqic and Microbioloqic
profi e of fungal kerailt s has revealed variation
inter reqiona ly even rn subtrop.al zone. The
study alms at providing ep'deniolog c and
microbiologlc data on funEa kefit tis in
Rohi khand reqion of Northern lndia
ley l ords rungal ^e'ott.s F a-^ )cc)
EtiaLagy
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