Sucessfull management of bilateral presumed Candida endogenous endophtalmitis following pancreatitis

ABSTRACT Endogenous endophthalmitis is a rare, and frequently devastating, ophthalmic disease. It occurs mostly in immunocompromised patients, or those with diabetes mellitus, cancer or intravenous drugs users. Candida infection is the most common cause of endogenous endophthalmitis. Ocular candidia...

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Bibliographic Details
Main Authors: Ricardo Evangelista Marrocos de Aragão, Ieda Maria Alexandre Barreira, Francisco Holanda Oliveira Neto, Felipe de Freitas Beserra, Cesar Pereira de Araujo, Carine Soares Ramos do Nascimento
Format: Article
Language:English
Published: Sociedade Brasileira de Oftalmologia 2016-06-01
Series:Revista Brasileira de Oftalmologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802016000300228&lng=en&tlng=en
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Summary:ABSTRACT Endogenous endophthalmitis is a rare, and frequently devastating, ophthalmic disease. It occurs mostly in immunocompromised patients, or those with diabetes mellitus, cancer or intravenous drugs users. Candida infection is the most common cause of endogenous endophthalmitis. Ocular candidiasis develops within days to weeks of fungemia. The association of treatment for pancreatitis with endophthalmitis is unusual. Treatment with broad-spectrum antibiotics and total parenteral nutrition may explain endogenous endophthalmitis. We report the case of a patient with pancreatitis treated with broad-spectrum antibiotics and total parenteral nutrition who developed bilateral presumed Candida endogenous endophthalmitis that was successfully treated with vitrectomy and intravitreal amphotericin B.
ISSN:1982-8551