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Ocular involvement in children with candidemia.

Sean P Donahue1, Eric Hein, Robbin B Sinatra

  • 1Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-8808, USA. sean.donahue@mcmail.vanderbilt.edu

American Journal of Ophthalmology
|June 6, 2003
PubMed
Summary

Ocular involvement is rare in children with candidemia (Candida bloodstream infection). This study found no cases of endophthalmitis or chorioretinitis, despite numerous consultations for suspected Candida infection.

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Area of Science:

  • Ophthalmology
  • Pediatrics
  • Infectious Diseases

Background:

  • Systemic Candida infections (candidemia) can potentially affect the eyes.
  • Previous studies indicated a higher incidence of ocular involvement in pediatric candidemia.

Purpose of the Study:

  • To assess the prevalence of ocular findings in hospitalized children diagnosed with systemic Candida infection.
  • To evaluate the necessity and workload of pediatric ophthalmology consultations for suspected candidemia.

Main Methods:

  • Retrospective review of inpatient hospital consultations.
  • Analysis of 30-month data from a pediatric ophthalmology service.
  • Inclusion of consultations for suspected or confirmed Candida infections.

Main Results:

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  • Out of 600 consultations, 30 were related to suspected or known Candida infection.
  • No patients exhibited ocular findings indicative of endophthalmitis or chorioretinitis.
  • One patient showed nonspecific findings linked to organ failure; another had vascular issues.

Conclusions:

  • Ocular involvement in pediatric candidemia is currently uncommon, contrasting with earlier findings.
  • Consultations for suspected ocular candidemia represent a significant clinical workload.
  • Further research into risk factors for ocular candidemia is recommended.