Protracted Aspergillus versicolor endophthalmitis caused by corneal microperforation

Details

Serval ID
serval:BIB_F1B43E39FED2
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Protracted Aspergillus versicolor endophthalmitis caused by corneal microperforation
Journal
Klinische Monatsblatter fur Augenheilkunde
Author(s)
Bifrare  Y. D., Wolfensberger  T. J.
ISSN
0023-2165 (Print)
Publication state
Published
Issued date
04/2007
Volume
224
Number
4
Pages
314-6
Notes
Case Reports
Journal Article --- Old month value: Apr
Abstract
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.
Keywords
Aspergillosis/*diagnosis/*etiology *Aspergillus Cornea/*injuries/microbiology Endophthalmitis/*diagnosis/*etiology Humans Male Middle Aged Wounds, Penetrating/*complications/diagnosis
Pubmed
Web of science
Create date
28/01/2008 14:05
Last modification date
20/08/2019 17:19
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