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Intravitreal Injection and Quantitation of Infection Parameters in a Mouse Model of Bacterial Endophthalmitis
Published on: February 6, 2021
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Aspergillus terreus panophthalmitis with orbital cellulitis
Manu Saini1, Usha Singh1, Shivaprakash Mandya Rudramurthy2
1Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Summary
A rare case of Aspergillus terreus caused severe eye infection (panophthalmitis) in a healthy adolescent. Prompt treatment with voriconazole was crucial for recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Mycology
Background:
- Panophthalmitis and orbital cellulitis are severe ocular infections.
- Fungal infections can present with atypical antimicrobial susceptibility.
Observation:
- An 11-year-old male presented with unilateral eye pain, redness, and vision loss.
- Initial antibiotic treatment failed, and the condition worsened, suggesting a fungal cause.
- Ocular deterioration occurred despite amphotericin B, indicating a fastidious pathogen.
Findings:
- Aspergillus terreus was identified in vitreous fluid.
- The infection responded effectively to intravenous voriconazole.
- This case highlights a unique antimicrobial susceptibility profile for Aspergillus terreus.
Implications:
- Aspergillus terreus can cause severe panophthalmitis and orbital cellulitis in immunocompetent adolescents.
- Early diagnosis and targeted antifungal therapy are critical for favorable outcomes.
- This case expands the understanding of fungal keratitis presentations in young individuals.
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