Scedosporium apiospermum keratomycosis with secondary endophthalmitis

Scedosporium apiospermum, the asexual form of Pseudallescheria boydii, is a saprophytic filamentous fungus found in soil, manure, and polluted water. In the tropics, it is a common cause of mycetoma and systemic infections have been reported in immunocompromised patients. 1 Ocular infection is frequently associated with trauma and generally the prognosis is poor. We report the treatment of a case of keratomycosis caused by S. apiospermum that progressed to endophthalmitis. Although infection was controlled, vision was ultimately lost as a result of secondary glaucoma.