, 167:51 | Cite as

Bipolaris hawaiiensis Keratomycosis and Endophthalmitis

  • Gulnaz Bashir
  • Wazahat Hussain
  • Azra Rizvi


Following trauma with rice stalk to the left eye, corneal ulcer with abscess and hypopyon developed in an immunocompetent male. Direct examination of the corneal scrapings revealed septate, branched fungal hyphae. Bipolaris hawaiiensis was isolated after culture on blood agar and Sabouraud dextrose agar. Because of delay in diagnosis and appropriate treatment, the patient developed endophthalmitis needing evisceration.


Bipolaris hawaiiensis Endophthalmitis Keratitis Trauma 



We are thankful to Dr. Arunaloke Chakrabarti, MD, DNB, Professor, Department of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India, for confirming the identification of the isolate as B. hawaiiensis.


  1. 1.
    Matsumoto T, Ajello L. Agents of phaeohyphomycosis. In: Ajello L, Hay RJ, editors. Topley and Wilson’s microbiology and microbial infections. 9th ed. London: Arnold Press; 1998. p. 503–24.Google Scholar
  2. 2.
    Rippon JW. Phaeohyphomycosis. In: Medical mycology, the pathogenic fungi and the pathogenic actinomycetes. Philadelphia: WB Saunders; 1988. p. 297–324.Google Scholar
  3. 3.
    Chowdhary A, Singh K. Spectrum of fungal keratitis in North India. Cornea. 2005;24:8–15. doi: 10.1097/01.ico.0000126435.25751.20.PubMedCrossRefGoogle Scholar
  4. 4.
    Eghtedari M, Pakshir K. Asymptomatic fungal cyst of conjunctiva caused by Bipolaris spicifera. Iran J Med Sci. 2006;31:56–8.Google Scholar
  5. 5.
    Gopinathan U, Garg P, Fernandes M, et al. The epidemiological features and laboratory results of fungal keratitis: a 10-year review at a referral eye care center in South India. Cornea. 2002;21:555–9. doi: 10.1097/00003226-200208000-00004.PubMedCrossRefGoogle Scholar
  6. 6.
    Srinivasan M, Gonzales CA, George C, et al. Epidemiology and aetiological diagnosis of corneal ulceration in Madurai. Br J Ophthalmol. 1997;81:965–71.PubMedCrossRefGoogle Scholar
  7. 7.
    Kumar M, Mishra NK, Shukla PK. Sensitive and rapid polymerase chain reaction based diagnosis of mycotic keratitis through single stranded conformation polymorphism. Am J Ophthalmol. 2005;140:851–7. doi: 10.1016/j.ajo.2005.05.019.PubMedCrossRefGoogle Scholar
  8. 8.
    Koshy S, Ebenezer D. Bipolaris keratomycosis in a leprosy patient: a case report. Lepr Rev. 2002;73:76–8.PubMedGoogle Scholar
  9. 9.
    Saha R, Das S. Bipolaris keratomycosis. Mycoses. 2005;48:453–5. doi: 10.1111/j.1439-0507.2005.01151.x.PubMedCrossRefGoogle Scholar
  10. 10.
    Gopalakrishnan K, Daniel E, Jacob R, et al. Bilateral Bipolaris keratomycosis in a borderline lepromatous patient. Int J Lepr Other Mycobact Dis. 2003;71:14–7. doi:10.1489/1544-581X(2003)71<14:BBKIAB>2.0.CO;2.PubMedCrossRefGoogle Scholar
  11. 11.
    Anandi V, Suryawanshi NB, Koshi G, et al. Corneal ulcer caused by Bipolaris hawaiiensis. J Med Vet Mycol. 1988;26:301–6. doi: 10.1080/02681218880000411.PubMedCrossRefGoogle Scholar
  12. 12.
    Newell CK, Steinmetz RL, Brooks H, et al. Chronic postoperative endophthalmitis caused by Bipolaris australiensis. Retina. 2006;26:109–10. doi: 10.1097/00006982-200601000-00020.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2008

Authors and Affiliations

  1. 1.Department of MicrobiologySKIMSSrinagarIndia
  2. 2.Mobile Surgical Eye UnitJ&K Health ServicesSrinagarIndia

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