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A case of endogenous trichosporon endophthalmitis treated with micafungin and voriconazole
Harpreet Walia1, Veronica T Tucci, John N Greene
1University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., Tampa, Florida 33612, USA.
Abstract:
Invasive fungal infections are a significant cause of morbidity and mortality. Endogenous fungal endophthalmitis is a rare intraocular infection with potential vision threatening consequences. Our review of the literature revealed only one other case of Trichosporon endophthalmitis. Ocular fungal infections are difficult to eradicate because of the limited availability of systemic and intravitreal therapeutic agents and poor tissue penetration of current antifungals. Along with systemic antifungal agents, vitrectomy and intravitreal amphotericin B have been suggested as optimal treatments for fungal endophthalmitis. Other antifungals such as flucytosine and triazoles have recently received consideration. Although the current antifungal therapy is not highly successful, there remains a significant potential for more successful treatments in the future, based on the current studies. We report a case of endogenous trichosporon endophthalmitis that was successfully treated with micafungin and voriconazole. This combination has not been previously reported as a successful therapy in literature. More targeted research is required to uncover additional efficacious therapies to combat trichosporon.
Insights
A rare fungal eye infection, Trichosporon endophthalmitis, was successfully treated with a novel combination of micafungin and voriconazole. This offers new hope for treating difficult invasive fungal infections.
Area of Science:
- Ophthalmology
- Mycology
- Infectious Diseases
Background:
- Invasive fungal infections pose significant health risks, with endogenous fungal endophthalmitis being a rare but severe intraocular condition.
- Ocular fungal infections are challenging to treat due to limited therapeutic options and poor drug penetration into eye tissues.
Observation:
- A literature review identified only one prior case of Trichosporon endophthalmitis.
- The case involved endogenous Trichosporon endophthalmitis, a serious intraocular infection.
Findings:
- Successful treatment of endogenous Trichosporon endophthalmitis was achieved using a combination of micafungin and voriconazole.
- This combination therapy has not been previously documented as effective in medical literature.
Implications:
- The findings suggest a promising new therapeutic strategy for invasive fungal endophthalmitis.
- Further research is needed to explore and validate additional effective treatments for Trichosporon infections.
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