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Endogenous Aspergillus versicolor endophthalmitis in an immuno-competent HIV-positive patient
Paolo Perri1, Claudio Campa, Carlo Incorvaia
1Department of Ophthalmology, University of Ferrara, Ferrara, Italy.
Abstract:
A 25-year-old white, HIV-positive, immuno-competent man was referred to us because of a progressive blurred vision in his right eye. Clinical characteristics were suggestive for an unilateral fungal endophthalmitis, and thereby fluconazole firstly, followed by conventional amphotericin B were intravenously administered, without any significant improvement. Thus, a pars plana vitrectomy was performed. Aspergillus versicolor was isolated from the cultures of the vitreous sample and intravenous liposomal amphotericin B was administered. An increase of visual acuity together with a reduction of vitreous inflammation occurred. This case of ours represents the first report describing an endogenous endophthalmitis induced by Aspergillus versicolor.
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