A case of conjunctivitis due to Scedosporium apiospermum

Purpose: To report a case of conjunctivitis due to Scedosporium apiospermum. Case: A 42-year-old female was referred to us for elevated lesion in the upper tarsal conjunctiva in the right eye. She was a habitual wearer of hard contact lens. She had been diagnosed with allergic conjunctivitis 2 years before and been treated with topical corticosteroid and antibiotics. The eye discharge turned yellow 3 months before. Findings: The right eye showed copious discharge and hyperemic elevation in the upper tarsal conjunctiva. Excisional biopsy showed inflammatory granulation and fungal balls. The causative organism was identified as S. apiospermum. The symptoms disappeared after resection of granular tissue and topical voriconazol for 3 months. Conclusion: This case illustrates that fungal organism may underlie in refractory conjunctivitis.