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Endogenous endophthalmitis as a septic complication postureteroscope candiduria
Fam Xeng Inn1, Umi Kalthum Md Noh2, Mohd Hafidzul Jasman1
1Surgical Department, Urology Unit, UKM Medical Center, Kuala Lumpur, Malaysia.
Urology Annals
|February 21, 2017
Summary
Post-ureteroscopy (URS) candiduria can lead to candidemia and potentially devastating endogenous endophthalmitis, a rare but serious complication causing vision loss. Antifungal treatment is crucial for this post-operative fungal infection.
Area of Science:
- Urology
- Ophthalmology
- Infectious Diseases
Background:
- Ureteroscopy (URS) is a standard procedure for ureteral stones, generally considered low-risk.
- Candiduria, a fungal urinary tract infection, can occur post-URS due to obstruction or contamination.
- Candidemia, a systemic fungal infection, can lead to ocular invasion.
Observation:
- A rare case of endogenous endophthalmitis following candiduria after URS is presented.
- This complication, though not previously reported, can result in significant vision loss.
Findings:
- Endogenous endophthalmitis developed as a direct consequence of candiduria post-ureteroscopy.
- The case highlights a severe, sight-threatening complication previously undocumented in medical literature.
Implications:
- This case underscores the importance of monitoring for and treating candiduria after URS.
- Ophthalmologists and urologists should be aware of this potential severe complication to ensure timely diagnosis and management.
- Further research may be needed to elucidate the exact mechanisms and preventative strategies for post-URS endogenous endophthalmitis.
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