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Int Ophthalmol. 2012 Feb;32(1):41-5. doi: 10.1007/s10792-011-9499-8. Epub 2012 Jan 6.

Candida dubliniensis endophthalmitis: first case in North America.

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1
Department of Ophthalmology, School of Medicine, West Virginia University Eye Institute, 1 Stadium Drive, Morgantown, WV 26505, USA. locombia66@yahoo.com

Abstract

To report an unusual case of endogenous fungal endophthalmitis due to Candida dubliniensis. Interventional case report of a 27-year-old immunocompetent male with loss of vision, dense vitritis, and chorioretinal infiltrates, who underwent a diagnostic pars plana vitrectomy. Microbiology cultures obtained by a diagnostic vitrectomy were positive for the growth of C. dubliniensis. This infectious process was then appropriately treated with intravitreal amphotericin B and systemic fluconazole with resolution of the endophthalmitis. Endogenous fungal endophthalmitis is a condition that can masquerade other more common causes of endophthalmitis. Atypical cases of endophthalmitis may benefit from diagnostic pars plana vitrectomy for prompt diagnosis and treatment.

PMID:
22222717
DOI:
10.1007/s10792-011-9499-8
[Indexed for MEDLINE]
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