Endogenous Candida Endophthalmitis with Bilateral Massive Submacular Abscess.

Ku, Myun; Jung, Jee Oong; Lee, Dae Yeong; Nam, Dong Heun

doi:2008.49.10.1701

J Korean Ophthalmol Soc > Volume 49(10); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(10):1701-1705.
DOI: https://doi.org/10.3341/jkos.2008.49.10.1701 Published online October 15, 2008.

Endogenous Candida Endophthalmitis with Bilateral Massive Submacular Abscess.

Myun Ku, Jee Oong Jung, Dae Yeong Lee, Dong Heun Nam

Department of Ophthalmology, Gachon University, Gil Medical Center, Incheon, Korea. eyedawns@gilhospital.com

양안의 광범위한 황반하 농양을 동반한 내인성 칸디다 안내염

구 면ㆍ정지웅ㆍ이대영ㆍ남동흔

Department of Ophthalmology, Gachon University, Gil Medical Center, Incheon, Korea

Abstract

PURPOSE
We present a case of endogenous endophthalmitis in which the patient presented with an overall clinical picture suggestive of bacterial endophthalmitis but was subsequently found to have Candida endophthalmitis. CASE SUMMARY: A 50-year-old man with hepatic encephalopathy and alcoholic liver cirrhosis who was treated in gastroenterology presented with reduced vision in both eyes. Indirect ophthalmoscopy showed bilateral massive submacular abscesses and surrounding retinal hemorrhage. In view of the initial fundal picture of a submacular abscess lesion, the subacute course of the disease, and a medical history of diabetes and liver cirrhosis, a provisional diagnosis of bacterial endophthalmitis was made. Treatment with topical and systemic empirical antibiotics was immediately initiated. CONCLUSIONS: Candida albicans should be considered in the differential diagnosis of endogenous endophthalmitis when massive submacular abscesses and hemorrhage are seen.

Key Words: Endogenous endophthalmitis;Candida endophthalmitis