RESUMO
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.
Assuntos
Anfotericina B/uso terapêutico , Antibacterianos/uso terapêutico , Antifúngicos/uso terapêutico , Aspergilose/diagnóstico , Aspergilose/tratamento farmacológico , Aspergilose/microbiologia , Aspergilose/cirurgia , Aspergillus/isolamento & purificação , Ceftazidima/uso terapêutico , Endoftalmite/diagnóstico , Endoftalmite/tratamento farmacológico , Endoftalmite/microbiologia , Endoftalmite/cirurgia , Olho/microbiologia , Olho/patologia , Olho/diagnóstico por imagem , Humanos , Terapia de Imunossupressão/efeitos adversos , Transplante de Fígado/efeitos adversos , Transplante de Fígado/métodos , Masculino , Procedimentos Cirúrgicos Oftalmológicos , Oftalmoscopia , Transplante Homólogo/efeitos adversos , Transplante Homólogo/métodos , Vancomicina/uso terapêutico , Adulto JovemAssuntos
Inibidores da Angiogênese/uso terapêutico , Anticorpos Monoclonais/uso terapêutico , Aptâmeros de Nucleotídeos/uso terapêutico , Retinopatia Diabética/complicações , Humanos , Degeneração Macular/tratamento farmacológico , Resultado do Tratamento , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidoresRESUMO
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.