Endogenous Candida Endophthalmitis with Bilateral Massive Submacular Abscess
Journal of the Korean Ophthalmological Society
;
: 1701-1705, 2008.
Article
in Korean
| WPRIM
| ID: wpr-223021
ABSTRACT
PURPOSE:
We present a case of endogenous endophthalmitis in which the patient presented with an overall clinical picture suggestive of bacterial endophthalmitis but was subsequently found to have Candida endophthalmitis. CASESUMMARY:
A 50-year-old man with hepatic encephalopathy and alcoholic liver cirrhosis who was treated in gastroenterology presented with reduced vision in both eyes. Indirect ophthalmoscopy showed bilateral massive submacular abscesses and surrounding retinal hemorrhage. In view of the initial fundal picture of a submacular abscess lesion, the subacute course of the disease, and a medical history of diabetes and liver cirrhosis, a provisional diagnosis of bacterial endophthalmitis was made. Treatment with topical and systemic empirical antibiotics was immediately initiated.CONCLUSIONS:
Candida albicans should be considered in the differential diagnosis of endogenous endophthalmitis when massive submacular abscesses and hemorrhage are seen.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmoscopy
/
Candida
/
Candida albicans
/
Retinal Hemorrhage
/
Hepatic Encephalopathy
/
Endophthalmitis
/
Vision, Low
/
Diagnosis, Differential
/
Abscess
/
Eye
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2008
Type:
Article
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