Bilateral simultaneous endogenous Aspergillus endophthalmitis in an immunocompetent patient.

Abstract

PURPOSE:

To report a case of bilateral endogenous Aspergillus endophthalmitis in an immunocompetent patient.

METHODS:

We report a young immunocompetent 26-year-old Indian woman who presented with bilateral simultaneous endogenous endophthalmitis and was managed with pars plana vitreous surgery in both the eyes.

RESULTS:

Smear examination of the vitrectomy specimen from the left eye identified septate hyphae with acute-angle branching, which on culture showed growth of Aspergillus fumigatus. A detailed systemic evaluation failed to reveal any systemic focus or predisposing factor for fungal infection. The patient had received an intravenous dextrose infusion 2 weeks before this episode while being treated at a rural hospital for malarial infection. During follow-up, she developed bilateral rhegmatogenous retinal detachment requiring revised pars plana vitreous surgery with silicon oil tamponade.

CONCLUSION:

An immunocompetent patient can present with bilateral simultaneous endogenous Aspergillus endophthalmitis after receiving an intravenous infusion of presumably contaminated dextrose solution.

• Authors: Nishant Sachdev, Pawan Gupta, Ramandeep Singh, Arunaloke Chakrabarti, Vishali Gupta, Amod Gupta
• Journal: Retinal cases & brief reports (Retin Cases Brief Rep) Vol. 4 Issue 1 Pg. 14-7 ( 2010) ISSN: 1935-1089 [Print] United States
• PMID: 25390109 (Publication Type: Journal Article)