We present a case of Colletotrichum truncatum species complex fungal keratitis and endophthalmitis in an 87-year-old immunocompetent male in whom oral triazole antifungals were contraindicated. The patient had recently returned from 4 months in Jamaica with a one month history of progressively increasing pain and inflammation in his left eye. Corneal samples grew a filamentous fungus and internal transcribed spacer sequencing polymerase chain reaction confirmed the presence of C. truncatum species complex. Samples showed no microbial growth.
Squissato, V., Yucel, Y. H., Richardson, S. E., Alkhotani, A., Wong, D. T., Nijhawan, N., & Chan, C. C. (2015). Colletotrichum truncatum species complex: Treatment considerations and review of the literature for an unusual pathogen causing fungal keratitis and endophthalmitis. Medical Mycology Case Reports, 9, 1–6. https://doi.org/10.1016/j.mmcr.2015.06.001