A case of endogenous candida endophthalmitis with incidental cytomegalovirus infection and optic neuropathy in a patient recovered from severe COVID-19.

Autor: Kaluarachchi S; Eye Unit, Teaching Hospital Kurunegala Sri Lanka, Sanjeewa Kaluarachchi-Consultant Vitreo-Retinal Surgeon, Muditha Abeykoon-Consultant Clinical Microbiologist, Teaching hospital Kurunegala, Colombo Road Kurunegala, Sri Lanka., Abeykoon M; Eye Unit, Teaching Hospital Kurunegala Sri Lanka, Sanjeewa Kaluarachchi-Consultant Vitreo-Retinal Surgeon, Muditha Abeykoon-Consultant Clinical Microbiologist, Teaching hospital Kurunegala, Colombo Road Kurunegala, Sri Lanka.
Jazyk: angličtina
Zdroj: Indian journal of ophthalmology [Indian J Ophthalmol] 2022 Jan; Vol. 70 (1), pp. 323-326.
DOI: 10.4103/ijo.IJO_2454_21
Abstrakt: A 62-year-old female diabetic recovered from COVID-19 pneumonia after receiving a prolonged course of steroids. She presented with a clinical picture of left-eye panuveitis with white cotton ball chorioretinal lesions and RAPD suggesting an optic neuropathy (VA HM). Diagnostic vitrectomy was performed to take samples for infective screen and to give intravitreal voriconazole empirically. Smear, culture, and PCR for viral DNA confirmed mixed infection of endogenous Candida endophthalmitis and incidental CMV infection. With further treatment, her corrected vision improved to 6/18 with regressing fungal lesions in serial fundus photographs. Prompt diagnosis and intervention preserved her vision and prevented potential life-threatening complications.
Competing Interests: None
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje