ABSTRACT
Due to the difficulties encountered in the etiologie diagnosis of papillo uveitis along with the increasing occurrence of fungal infections (in paralleled with the number of AIDS affected patients), we found of interest to report a case of exsudative macular chorioretinitis with poor evolution under steroid therapy. In this patient infection by Candida Albicans was suspected and confirmed only after isolation and culture of the fungal from a vitrectomy specimen. A therapeutic apponch using Fluconazole (Triflucan allowed a dramatic improvement of visual acuity within a few months. Thus, vitrectomy appears as a decisive step in the diagnosis of endogenous ocular candidiasis. This diagnosis is even more difficult to suspect in patient without immun deficiency more any extraocular focal infestation.
Subject(s)
Candidiasis/diagnosis , Optic Disk , Uveitis/diagnosis , Adult , Antifungal Agents/therapeutic use , Candidiasis/therapy , Endophthalmitis/diagnosis , Endophthalmitis/therapy , Humans , Male , Uveitis/therapy , VitrectomySubject(s)
Chordoma/complications , Skull Neoplasms/complications , Adolescent , Female , Headache/etiology , Humans , Ophthalmoplegia/etiology , Time FactorsSubject(s)
Eye Diseases/etiology , Hydrocephalus/complications , Adolescent , Adult , Aged , Eye Diseases/prevention & control , Female , Humans , Hydrocephalus/diagnosis , Infant , Papilledema/etiology , Time FactorsABSTRACT
An oophorectomy specimen in a patient aged 36 showed a dermoid cyst with a struma ovarii and what was considered to be a folliculo-trabecular adenoma. Two osseous metastases appeared 4 and 8 years later respectively. The follow-up so far is 15 years. This is the twentieth reported case of mature cystic teratoma of the ovary containing metastating thyroid carcinoma.
