International Ophthalmology

, Volume 17, Issue 3, pp 131–135 | Cite as

Endogenous Aspergillus endophthalmitis in an immunocompetent individual

  • Shailaja Valluri
  • Ramana S. Moorthy
  • Peter E. Liggett
  • Narsing A. Rao
Original Papers

Abstract

We present an unusual case ofAspergillus fumigatus endogenous endophthalmitis in a 27 year old Hispanic male with no history of ocular trauma, surgery, hematologic malignancy, compromised immune system, or intravenous drug use. The patient presented with a two-day history of pain, redness, and visual acuity of bare count fingers in his right eye. He was originally suspected of having toxoplasmic retinochoroiditis, but clinically worsened on systemic anti-toxoplasma medication and corticosteroids. He subsequently underwent pars plana vitrectomy and treatment with intravenous and intravitreal amphotericin B.Aspergillus fumigatus was isolated and identified in the vitreous aspirate. With aggressive medical and surgical management, he eventually regained visual acuity of 20/30 in his right eye. This case illustrates the occurrence of endogenous Aspergillus endophthalmitis in a patient with no history of intravenous drug use, ocular trauma, or compromised immune system, and successful outcome with combined medical and surgical management.

Key words

Aspergillus fumigatus endogenous endophthalmitis immunocompetent host amphotericin B pars plana vitrectomy 

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Copyright information

© Kluwer Academic Publishers 1993

Authors and Affiliations

  • Shailaja Valluri
    • 1
  • Ramana S. Moorthy
    • 1
  • Peter E. Liggett
    • 1
  • Narsing A. Rao
    • 1
    • 2
  1. 1.Doheny Eye Institute and the Department of OphthalmologyUniversity of Southern California School of MedicineLos AngelesUSA
  2. 2.Department of PathologyUniversity of Southern California School of MedicineLos AngelesUSA

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