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Endogenous Candida albicans infection causing subretinal abscess

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Abstract

Purpose We report a case of Candida albicans endophthalmitis with subretinal abscess formation in a patient who underwent liver transplantation. Methods Case report. Results A 51-year-old Japanese woman complained of deep pain and ciliary injection in her right eye. Three months prior, the patient had undergone liver transplantation for cirrhosis caused by hepatitis C. A slit-lamp examination revealed intense anterior chamber inflammation with hypopyon and fundoscopy showed a yellowish-white subretinal mass lesion in the inferior peripheral fundus. Systemic and topical antibiotics did not prevent further progression of the infection. The patient underwent pars plana vitrectomy treatment three times and a histopathological study of a vitreous specimen revealed C. albicans to be the causative organism. Conclusion A subretinal abscess, previously reported in Nocardia, Pseudomonas, Staphylococcus, and Aspergillus infection cases, can also occur in patients infected with Candida. Therefore, Candida infection should be considered as a potential cause of subretinal abscess in organ transplant recipients.

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Authors and Affiliations

  1. Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan

    Toshikatsu Kaburaki, Mitsuko Takamoto, Fumiyuki Araki, Yujiro Fujino & Miyuki Nagahara

  2. Department of Ophthalmology, Saitama Red Cross Hospital, Saitama, Japan

    Hidetoshi Kawashima

  3. Section of Ophthalmology, Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan

    Jiro Numaga

Authors
  1. Toshikatsu Kaburaki
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  2. Mitsuko Takamoto
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  3. Fumiyuki Araki
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  4. Yujiro Fujino
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  5. Miyuki Nagahara
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  6. Hidetoshi Kawashima
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  7. Jiro Numaga
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Correspondence to Toshikatsu Kaburaki.

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Kaburaki, T., Takamoto, M., Araki, F. et al. Endogenous Candida albicans infection causing subretinal abscess. Int Ophthalmol 30, 203–206 (2010). https://doi.org/10.1007/s10792-009-9304-0

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  • DOI: https://doi.org/10.1007/s10792-009-9304-0

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