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Indian J Ophthalmol. 2019 Sep;67(9):1483-1484. doi: 10.4103/ijo.IJO_1691_18.

Fungal retinitis following influenza virus type A (H1N1) infection.

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Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India.


A 43-year-old male presented with left eye foveal retinits causing an acute visual loss following influenza virus type A infection (H1N1 infection or Swine flu). Considering viral (influenza) etiology, a prompt treatment with oral corticosteroids was started. But an initial poor response prompted an immediate diagnostic vitrectomy, which revealed Candida albicans. The retinitis healed with scar formation following anti-fungal therapy. This case highlights that even in the setting of an acute retinitis in an immunocompetent patient with recent history of viral systemic illness, a high index of suspicion of a fungal (rather than viral) infection should be kept in mind.


Endogenous endophthalmitis; H1N1; foveal; fungal; influenza; retinitis; viral

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