We report the first case of Tintelnotia destructans associated keratitis in a contact lens wearer in Australia.Corneal scrape showed fungal elements Beaded Headstall on direct microscopy leading to a prompt diagnosis of fungal keratitis and early topical and systemic antifungal therapy.The isolate was eventually identified Hoodies/Fleece by ITS gene sequencing.
This case highlights the importance of accurate identification and antifungal susceptibility testing for the management of fungal keratitis.Keywords: Fungal keratitis, Tintelnotia, Voriconazole.