Endogenous candidal endophthalmitis associated with flame burn injury and advanced gastric cancer.

Yi, Sung Tae; Oh, Jae Ryung; Huh, Kuhl

Case Report

Journal of the Korean Ophthalmological Society 2003;44(1):235-239.
Published online January 1, 2003.

Endogenous candidal endophthalmitis associated with flame burn injury and advanced gastric cancer.

Sung Tae Yi, Jae Ryung Oh, Kuhl Huh

Department of Ophthalmology, Korea University College of Medicine, Korea. dumky@unitel.co.kr

전신화상 및 진행성 위암을 동반한 환자에서 발생한 내인성 칸디다 안내염 1예

이승태 ( Sung Tae Yi ) , 오재령 ( Jae Ryung Oh ) , 허걸 ( Kuhl Huh )

Abstract

PURPOSE
We report a case of candidal endophthlmitis developed in a patient with advanced gastric cancer who recently injured by flame burn. He was treated successfully with intravitreous and intravenous antifungal agents. METHODS: A 40-year-old man visited with complaints of decreased binocular visual acuity 7 weeks after third degree flame burn injury to 25% of body surface. Indirect ophthalmoscope showed findings of fungal endophthalmitis and upper gastro-intestinal endoscopic examination diagnosed of fungal esophagitis and advanced gastric cancer. He was treated with amphotericin B intranvitreously and fluconazole and amphotericin B intravenously. RESULTS: His visual acuity was improved to 20/50 (OD), 20/30 (OS) following 4 weeks after treatment and intraocular inflammation was decreased. After 5 months, he recovered his visual acuity as 20/25 (OD), 20/20 (OS), and had no inflammation in anterior chamber and vitreous.

Key Words: Advanced gastric cancer;Endogenous candidal endophthalmitis;Flame burn injury