A rare case of Lecythophora endogenous endophthalmitis: Diagnostic and therapeutic challenge

Simple item page
dc.contributor.authorDogra, Men_US
dc.contributor.authorDhingra, Den_US
dc.contributor.authorSharma, SPen_US
dc.contributor.authorBansal, Ren_US
dc.date.accessioned2020-04-10T02:00:08Z
dc.date.available2020-04-10T02:00:08Z
dc.date.issued2018-08
dc.description.abstractFungal endogenous endophthalmitis (EE) secondary to contaminated intravenous fluid infusion is frequently seen in developing countries. Molds and yeasts are commonly implicated as the causative agents. Dematiaceous fungi such as Lecythophora have been linked to exogenous endophthalmitis but have never been reported to cause EE. We report a case of Lecythophora EE that was successfully managed with pars plana vitrectomy along with intravitreal and systemic voriconazole. Endogenous endophthalmitis (EE) is a potentially devastating intraocular infection caused by intraocular spread of pathogens through blood stream. It generally accounts for 2%�% of all reported endophthalmitis cases.[1] Predisposing risk factors include diabetes mellitus, malignancies, intravenous drug use, organ abscess, immunosuppressive therapy, indwelling catheters, urinary tract infection, organ transplant, end-stage renal or liver disease, and endocarditis.[2] It may occur in patients with no overt signs of systemic infection, particularly in the setting of contaminated intravenous fluid infusion in a rural setting.[3] Among the three broad categories of pathogens responsible for EE-bacteria, yeast, and molds, cases caused by molds are most infrequent and have the worst outcomes.[4] While Candida and Aspergillus are the most common species among fungal causes of EE, Lecythophora has been rarely reported as a cause of endophthalmitis due to exogenous causes.[5],[6],[7],[8] We, herein, report a case of EE caused by Lecythophora species.en_US
dc.identifier.affiliationsAdvanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.citationDogra M, Dhingra D, Sharma SP, Bansal R. A rare case of Lecythophora endogenous endophthalmitis: Diagnostic and therapeutic challenge. Indian Journal of Ophthalmology. 2018 Aug; 66(8): 1203-1205en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/196848
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber8en_US
dc.relation.volume66en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_181_18en_US
dc.subjectEndogenous endophthalmitisen_US
dc.subjectLecythophoraen_US
dc.subjectintravitreal voriconazoleen_US
dc.titleA rare case of Lecythophora endogenous endophthalmitis: Diagnostic and therapeutic challengeen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijo2018v66n8p1203.pdf
Size:
921.88 KB
Format:
Adobe Portable Document Format
Download
Collections
Indian Journal of Ophthalmology