{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:48:30Z","timestamp":1782913710728,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,6,19]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Fungal keratitis is a serious ocular infection that can result in permanent vision loss if not promptly diagnosed and treated. A healthy woman in her early 20s developed keratitis nearly 2\u2009weeks after an ocular trauma with an organic material, a cardboard paper, on her left eye. Ocular examination revealed a mid-stromal corneal infiltrate with brush-like borders and hypopyon. The Giemsa stain of the corneal scraping demonstrated branching septated hyphae, and fungal culture grew\n                    <jats:italic>Trichomonascus ciferrii<\/jats:italic>\n                    resistant to amphotericin B. She was successfully treated with topical natamycin 5% drops for 2 weeks, leading to complete eradication of the corneal infection with a residual stromal scar. This case documented\n                    <jats:italic>T. ciferrii,<\/jats:italic>\n                    a rare fungal aetiology in post-traumatic keratitis in a tropical country, successfully treated with natamycin 5%. Despite the virulence of\n                    <jats:italic>T. ciferrii<\/jats:italic>\n                    , the infection was promptly treated, resulting in a good functional vision.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-267592","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:20:22Z","timestamp":1782912022000},"page":"e267592","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Fungal keratitis caused by\n                    <i>Trichomonascus ciferrii<\/i>\n                    in an immunocompetent adult"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6469-3575","authenticated-orcid":false,"given":"Patricia Kaye Te","family":"Sy","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre Aldwin Lumbre","family":"Arceo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7561-5654","authenticated-orcid":false,"given":"Richard Lopez","family":"Nepomuceno","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, Manila, Philippines"},{"name":"Department of Ophthalmology and Visual Sciences, College of Medicine, University of the Philippines Manila, Manila, Philippines"},{"name":"Department of Ophthalmology, East Avenue Medical Center, Quezon City, Philippines"},{"name":"Eye Institute, Saint Luke\u2019s Medical Center, Quezon City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-3727","authenticated-orcid":false,"given":"George Michael N","family":"Sosuan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, Manila, Philippines"},{"name":"Department of Ophthalmology and Visual Sciences, College of Medicine, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6300-0785","authenticated-orcid":false,"given":"Ruben","family":"Lim Bon Siong","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, Philippine General Hospital, Manila, Philippines"},{"name":"Department of Ophthalmology and Visual Sciences, College of Medicine, University of the Philippines Manila, Manila, Philippines"},{"name":"Eye Institute, Saint Luke\u2019s Medical Center, Quezon City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"2026070106200485000_19.7.e267592.1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S447138"},{"key":"2026070106200485000_19.7.e267592.2","doi-asserted-by":"crossref","DOI":"10.3390\/jof10040294","article-title":"Stephanoascus ciferrii Complex: The Current State of Infections and Drug Resistance in Humans","volume":"10","author":"Cosio","year":"2024","journal-title":"J Fungi (Basel)"},{"key":"2026070106200485000_19.7.e267592.3","doi-asserted-by":"crossref","first-page":"538","DOI":"10.4103\/0255-0857.167331","article-title":"Ocular infections caused by Candida species: Type of species, in vitro susceptibility and treatment outcome","volume":"33","author":"Motukupally","year":"2015","journal-title":"Indian J Med 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randomized trial comparing natamycin vs voriconazole","volume":"131","author":"Prajna","year":"2013","journal-title":"JAMA Ophthalmol"},{"key":"2026070106200485000_19.7.e267592.11","doi-asserted-by":"crossref","first-page":"2043","DOI":"10.1080\/09273948.2021.1957125","article-title":"Postpartum Endogenous Endophthalmitis in a Young Immunocompetent Female by a Rare Fungus Candida ciferrii","volume":"30","author":"Bansal","year":"2022","journal-title":"Ocul Immunol Inflamm"},{"key":"2026070106200485000_19.7.e267592.12","doi-asserted-by":"crossref","DOI":"10.3389\/fcimb.2021.698780","article-title":"Distribution, Prevalence, and Causative Agents of Fungal Keratitis: A Systematic Review and Meta-Analysis (1990 to 2020)","volume":"11","author":"Ahmadikia","year":"2021","journal-title":"Front Cell Infect Microbiol"}],"container-title":["BMJ Case 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