[Fungal endogenous endophthalmitis--case report]

Area of Science:

• Ophthalmology
• Infectious Diseases
• Mycology

Background:

• Endogenous fungal endophthalmitis is a rare but serious intraocular infection.
• Candida species are the most common cause of endogenous fungal endophthalmitis.
• Patients with risk factors such as diabetes, intravenous drug use, and immunosuppression are at higher risk.

Observation:

• A patient with multiple risk factors presented with symptoms suggestive of endophthalmitis.
• Diagnosis was delayed, complicating the management of the infection.
• The patient developed endogenous Candida endophthalmitis, a severe intraocular inflammation.

Findings:

• The causative organism was identified as Candida species.
• Despite the delayed diagnosis, the patient's vision was ultimately preserved.
• Posterior vitrectomy was performed as the surgical solution.

Implications:

• This case highlights the importance of early diagnosis and prompt treatment of endogenous fungal endophthalmitis.
• Aggressive management, including surgical intervention, can lead to favorable outcomes even in complex cases.
• Identifying and managing risk factors is crucial for preventing this sight-threatening condition.