260296

Rapid diagnosis of fungal keratitis in patients with corneal ulcer using Calcofluor White stain

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Clinical microbiology
Medical mycology

Abstract

Background: The prevalence of fungal keratitis has risen in recent years significantly. To avoid additional complications, diagnosing and treating fungal keratitis is crucial. This study aims to measure the efficacy of a calcofluor white (CFW) stain for the quick diagnosis of fungal keratitis and to contrast the positive rates, sensitivity, and specificity with a 10% potassium hydroxide (KOH)-based smear and culture technique. Methods:From individuals with clinically suspected corneal ulcers, 30 corneal scrapings had been collected. Data on demographics had been analyzed. Results: Of the 30 patients, 40% were women and 60% were men. There was a 1.5:1 man-to-woman ratio. The age of patients ranged from 29 to 71 years (mean 46.67 ± 10.90). The age presentation of those between the ages of 41 and 50 years was the most frequent (36.7%). The majority of cases were farmers (43.3%). Trauma was the most common predisposing factor (46.6%). Twenty-four (80%) cases were culture positive. Eleven (36.7%) were fungal, 13 (43.3%) were bacterial and 6 (20%) showed no growth. Fusarium was the most common fungal isolate (36.4%), followed by Aspergillus (27.3%). While Staphylococcus aureus was the most common bacterial isolate (46.2%), followed by Pseudomonas (38.4%). The sensitivity of KOH wet mount and CFW stain was 72.7% and 90.9%, respectively. The specificity of both KOH wet mount and CFW stain was 100%. Conclusion:The early diagnosis of fungal keratitis can be made rapidly by direct microscopic examination of fungal elements using CFW stain. When diagnosing fungal keratitis, CFW has higher sensitivity to KOH.

DOI

10.21608/mid.2022.158476.1375

Keywords

Keywords: Fungal Keratitis, corneal ulcer, Potassium hydroxide wet mount, Calcofluor White Stain

Authors

First Name

Maha

Last Name

Anwar

MiddleName

Ahmad

Affiliation

Clinical Pathology Department, Faculty of Medicine, Ain Shams University, Egypt

Email

drmahaanwer83@gmail.com

City

Cairo

Orcid

0009-0006-0874-556X

First Name

Nourhan

Last Name

Daif Allah

MiddleName

Medhat Mohamed

Affiliation

Clinical Pathology Department, Faculty of Medicine, Ain Shams University, Egypt

Email

normedhat92@hotmail.com

City

El obour

Orcid

-

First Name

Sally

Last Name

Saber

MiddleName

Mohammed

Affiliation

Clinical Pathology Department, Faculty of Medicine, Ain Shams University, Egypt

Email

sallysaber@ymail.co

City

Cairo

Orcid

-

First Name

Ahmed

Last Name

Abdelmajeed

MiddleName

-

Affiliation

Ophthalmology department, Faculty of medicine, Ain Shams University, Cairo, Egypt

Email

ahmed_abdelmajeed@med.asu.edu.eg

City

Cairo

Orcid

-

Volume

3

Article Issue

4

Related Issue

37291

Issue Date

2022-11-01

Receive Date

2022-08-26

Publish Date

2022-11-01

Page Start

1,056

Page End

1,066

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_260296.html

Detail API

https://mid.journals.ekb.eg/service?article_code=260296

Order

33

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Rapid diagnosis of fungal keratitis in patients with corneal ulcer using Calcofluor White stain

Details

Type

Article

Created At

22 Jan 2023