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Fulminant fungal endogenous endophthalmitis following SARS-CoV-2 infection: A case report

Mukesh Jain1, Anand Singh Brar1, Suryasnata Rath2

  • 1Anant Bajaj Retina Institute, L.V. Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, Odisha, India.

Indian Journal of Ophthalmology
|May 3, 2022
PubMed

Insights

COVID-19 survivors are at risk for endogenous endophthalmitis, a severe eye infection. Early detection of vision loss and eye redness in these patients is crucial for better outcomes.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Systemic corticosteroids and SARS-CoV-2 infection can lead to immunocompromised states.
  • These conditions increase the risk of endogenous endophthalmitis.

Observation:

  • A 66-year-old male presented with vision loss and redness post-COVID-19 hospitalization.
  • Clinical examination revealed fulminant endogenous endophthalmitis.

Findings:

  • The patient's condition required evisceration despite aggressive treatment.
  • Aspergillus fumigatus was identified as the causative organism via culture and gene sequencing.

Implications:

  • A high index of suspicion for endogenous endophthalmitis is necessary in COVID-19 patients with new floaters.
  • Prompt diagnosis and treatment are vital for improving visual outcomes in at-risk individuals.
Keywords:
Aspergillus fusariumCOVID-19 infectionsSARS-CoV-2endogenous endophthalmitisfungus

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