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[Endogenous Candida lens abscess in a premature infant]

Achim Fieß1, J Bauer2, C Schindel3

  • 1Augenklinik des Klinikums Wiesbaden, Dr. Horst-Schmidt-Kliniken, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland. Achim.Fiess@hsk-wiesbaden.de.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|June 5, 2015
PubMed

Insights

This case report details a rare Candida lens abscess in a premature infant. Delayed abscess formation is possible in preterm infants due to pathogen dissemination, even after initial sepsis treatment.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Infectious Diseases

Background:

  • Describes an extremely rare case of Candida lens abscess.
  • Focuses on a premature infant born at 24 weeks gestational age.
  • The infant had a history of successfully treated Candida sepsis.

Observation:

  • Patient presented at 6 months with greyish pupillary alterations.
  • Examination revealed a grey pupillary membrane and a swollen lens.
  • A lensectomy was performed, and Candida albicans was identified.

Findings:

  • Identified Candida albicans as the causative agent.
  • Confirmed a delayed abscess formation within the lens.
  • Demonstrated the possibility of pathogen dissemination into the lens.

Implications:

  • Highlights the risk of delayed intraocular infections in preterm infants.
  • Suggests that the lens may become inaccessible to systemic treatment after vascular regression.
  • Emphasizes the need for vigilance in diagnosing and managing fungal endophthalmitis in neonates.
Abstract

Keywords:
Candida endophthalmitisLensectomyPremature birthSepsisTherapy

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