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Published on: April 2, 2021
Subtherapeutic ocular penetration of caspofungin and associated treatment failure in Candida albicans endophthalmitis
G M Gauthier1, T M Nork, R Prince
1Department of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Abstract:
Candida endophthalmitis represents the most serious ocular complication of candidemia. The pharmacokinetics and pharmacodynamics of fluconazole, amphotericin B, and flucytosine are fairly well established in endophthalmitis therapy. There remains a paucity of clinical data regarding the utility of new antimycotic agents in the treatment of fungal chorioretinitis and endophthalmitis. We report a case of clinical failure of caspofungin in the management of Candida albicans endophthalmitis associated with poor vitreous penetration.
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