RESUMEN
In this report, we describe a patient with drug-induced liver failure who developed endogenous endophthalmitis after liver transplantation. Our patient's clinical course was so fulminant that the eye was lost in less than 1 month, without any response to therapy. Recognition of this infection is important because many patients die of disseminated Aspergillus infection, which may be detected early with bedside funduscopic examination by an ophthalmologist. Probably if the patient had referred to us earlier, it may have been possible to save the eye.
Asunto(s)
Anfotericina B/uso terapéutico , Antibacterianos/uso terapéutico , Antifúngicos/uso terapéutico , Aspergilosis/diagnóstico , Aspergilosis/tratamiento farmacológico , Aspergilosis/microbiología , Aspergilosis/cirugía , Aspergillus/aislamiento & purificación , Ceftazidima/uso terapéutico , Endoftalmitis/diagnóstico , Endoftalmitis/tratamiento farmacológico , Endoftalmitis/microbiología , Endoftalmitis/cirugía , Ojo/microbiología , Ojo/patología , Ojo/diagnóstico por imagen , Humanos , Terapia de Inmunosupresión/efectos adversos , Trasplante de Hígado/efectos adversos , Trasplante de Hígado/métodos , Masculino , Procedimientos Quirúrgicos Oftalmológicos , Oftalmoscopía , Trasplante Homólogo/efectos adversos , Trasplante Homólogo/métodos , Vancomicina/uso terapéutico , Adulto JovenAsunto(s)
Inhibidores de la Angiogénesis/uso terapéutico , Anticuerpos Monoclonales/uso terapéutico , Aptámeros de Nucleótidos/uso terapéutico , Retinopatía Diabética/complicaciones , Humanos , Degeneración Macular/tratamiento farmacológico , Resultado del Tratamiento , Factor A de Crecimiento Endotelial Vascular/antagonistas & inhibidoresRESUMEN
Herein, we describe the presenting symptoms, history, ophthalmic examination, visual fields and brain magnetic resonance imaging of a patient who developed left homonymous hemianopia due to right occipital lobe hemorrhage after ingestion of sildenafil citrate (Novagra Forte). To the best of our knowledge, association of homonymous hemianopia with sildenafil usage has not been reported before.