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Apophysomyces elegans: a novel cause of endogenous endophthalmitis in an immunocompetent individual

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Abstract

A 20-year-old male presented with sudden onset redness, pain, and decreased vision in his left eye. Best-corrected visual acuity in the left eye was noted to be perception of light positive with inaccurate projection. On clinical examination, he was diagnosed to have left eye endogenous endophthalmitis. Smear and culture of vitreous biopsy were positive for Apophysomyces elegans, a fungus known to cause extensive soft tissue infections systemically characteristically in immunocompetent individual. The patient was treated aggressively with topical, systemic, and intravitreal antifungals but had a poor visual and anatomical outcome. This is a first known report of endogenous endophthalmitis due to Apophysomyces elegans.

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Authors and Affiliations

  1. Smt. Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, India

    Vivek Pravin Dave & Rohit Yogi

  2. Jhaveri Microbiology Center, Brian Holden Eye Research Center, LV Prasad Eye Institute, Hyderabad, India

    Savitri Sharma

  3. Jhaveri Microbiology Center, LV Prasad Eye Institute, Hyderabad, India

    Swapna Reddy

Authors
  1. Vivek Pravin Dave
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  2. Savitri Sharma
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  3. Rohit Yogi
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  4. Swapna Reddy
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Correspondence to Vivek Pravin Dave.

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Dave, V.P., Sharma, S., Yogi, R. et al. Apophysomyces elegans: a novel cause of endogenous endophthalmitis in an immunocompetent individual. Int Ophthalmol 34, 1285–1289 (2014). https://doi.org/10.1007/s10792-014-9999-4

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  • DOI: https://doi.org/10.1007/s10792-014-9999-4

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