Bilateral endogenous ophthalmitis due to Candida glabrata after complicated bariatric surgery

Pizango, O.; Tejeda, E.; Buendia, M.; Lujana, S. · Universidad Peruana de Ciencias Aplicadas (UPC) (2015)

Resumen

Case report: A 43-year-old female presented with decreased visual acuity in the right eye.“Snowball-like” retinal lesions were found in both eyes on examination. Due to a lackof improvement with intravitreal antifungal empirical treatment, vitreous culture wasperformed and Candida glabrata was isolated. The patient then received intravitreal ampho-tericin B, as well as systemic treatment with caspofungin and amphotericin B lipid complex.Discussion: Endogenous fungal endophthalmitis is a sight-threatening condition. There arefew reports of C. glabrata endogenous endophthalmitis. Treatment regimens for Candidaendophthalmitis include combinations of systemic and/or intravitreal antifungals, as wellas vitrectomy.

Instituciones: Universidad Peruana de Ciencias Aplicadas