Protracted Aspergillus versicolor endophthalmitis caused by corneal microperforation

Détails

ID Serval
serval:BIB_F1B43E39FED2
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Protracted Aspergillus versicolor endophthalmitis caused by corneal microperforation
Périodique
Klinische Monatsblatter fur Augenheilkunde
Auteur(s)
Bifrare  Y. D., Wolfensberger  T. J.
ISSN
0023-2165 (Print)
Statut éditorial
Publié
Date de publication
04/2007
Volume
224
Numéro
4
Pages
314-6
Notes
Case Reports
Journal Article --- Old month value: Apr
Résumé
BACKGROUND: Here we describe the characterization of a protracted Aspergillus versicolor endophthalmitis caused by a corneal microperforation. HISTORY AND SIGNS: A 58-year-old patient noticed blurred vision two weeks after he was hit in the eye by an old cable in a dilapidated house. A traumatic cataract and an intraocular inflammation were diagnosed and treated elsewhere with phacoemulsification and anti-inflammatory drugs. Vitreous samples were sterile. Despite topical steroids visual acuity continued to decrease and the patient presented in Lausanne 6 months later with a visual acuity of counting fingers, major inflammation of the anterior segment and a small corneal scar. Fundus examination revealed massive vitreous inflammation with a voluminous whitish chorioretinal infiltrate temporally. THERAPY AND OUTCOME: Vitrectomy with dissection of a protuberant epiretinal filamentous tissue in the temporal fundus was performed, and Amikacine, Vancomycine and Amphothericine were injected intravitreally. Bacteriological work-up revealed Aspergillus versicolor. Visual acuity improved to 0.2 with topical steroids and oral antifungal drugs. CONCLUSIONS: Corneal microperforations may cause a protracted endophthalmitis due to Aspergillus versicolor, a rare fungus, which is commonly found in insulation materials and cables in dilapidated houses.
Mots-clé
Aspergillosis/*diagnosis/*etiology *Aspergillus Cornea/*injuries/microbiology Endophthalmitis/*diagnosis/*etiology Humans Male Middle Aged Wounds, Penetrating/*complications/diagnosis
Pubmed
Web of science
Création de la notice
28/01/2008 14:05
Dernière modification de la notice
03/03/2018 22:39
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