Aspergillus endophthalmitis in a drug abuser

In a 31-year-old man, metastatic Aspergillus endophthalmitis developed after intravenous cocaine injection. His reluctance to admit to drug abuse resulted in delay of diagnostic and curative vitrectomy. Metastatic osteomyelitis also developed, underscoring the need for careful surveillance for other systemic manifestations of fungemia. We believe this to be the first published case in which useful vision was salvaged in an eye afflicted by metastatic Aspergillus endophthalmitis.