# Not All Fungi and Games: An Unusual Case of Fungal Keratitis in Michigan

## TL;DR

A rare case of fungal eye infection caused corneal ulceration in a woman from Michigan, a region where such infections are uncommon.

## Contribution

This paper presents a unique clinical case of fungal keratitis in a temperate climate, highlighting diagnostic challenges.

## Key findings

- Fungal keratitis occurred in a 40-year-old female in Michigan, a temperate region.
- The infection led to corneal ulceration, indicating a severe clinical course.
- The case underscores the need for awareness of fungal keratitis even in non-tropical areas.

## Abstract

Fungal keratitis is a concerning cause of blindness that is significantly more common in tropical and subtropical areas of the world. Keratitis of fungal etiology has a more indolent course than bacterial keratitis due to many factors involving delayed presentation and misdiagnosis. Although fungal keratitis is more common in humid climates, Candida is the predominant species in temperate locations. Here, we report a case of fungal keratitis that developed in a 40-year-old female in Michigan, which was complicated by ulceration of the cornea.