Cerebral Basilar Artery Mycotic Aneurysm Associated With Aspergillus Endogenous Endophthalmitis.

Lee, Mee Yon; Whang, Woong Joo; Lee, Won Ki

doi:2010.51.12.1671

J Korean Ophthalmol Soc > Volume 51(12); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(12):1671-1675.
DOI: https://doi.org/10.3341/jkos.2010.51.12.1671 Published online December 15, 2010.

Cerebral Basilar Artery Mycotic Aneurysm Associated With Aspergillus Endogenous Endophthalmitis.

Mee Yon Lee, Woong Joo Whang, Won Ki Lee

Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Seoul, Korea. wklee@catholic.ac.kr

아스퍼질루스균에 의한 내인성 안내염 환자에서 뇌 기저 동맥 감염 동맥류가 동반된 증례

이미연ㆍ황웅주ㆍ이원기

Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Seoul, Korea

Abstract

PURPOSE
To report a case of mycotic aneurysm of the cerebral basilar artery associated with bilateral endogenous aspergillus endophthalmitis. CASE SUMMARY: A 41-year-old man with no underlying disease presented with decreased vision in both eyes. The patient was diagnosed with bilateral endogenous endophthalmitis, and the authors performed a vitrectomy and lensectomy on the right eye. Hyphae were detected in the vitreous sample, and systemic amphotericin was administered. Three days after the operation, the patient became comatose due to a subarachnoid hemorrhage. Aspergillus antigen was detected in the vitreous sample and in the cerebrospinal fluid. Subarachnoid hemorrhage was due to the rupture of a mycotic aneurysm of the cranial basilar artery, complicated by aspergillus infection of the central nervous system.

Key Words: Aspergillus endophthalmitis;Endogenous endophthalmitis;Mycotic aneurysm