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Endogenous Aspergillus endophthalmitis associated with periodontitis
T Matsuo1, H Nakagawa, N Matsuo
1Department of Ophthalmology, Okayama University Medical School, Japan.
Abstract:
We report a 64-year-old woman who developed endogenous endophthalmitis in the course of severe periodontitis. Histopathological examination of the vitreous debris obtained during vitrectomy disclosed fungi and its culture identified Aspergillus flavus. Periodontitis should be considered as one of the infectious foci for endogenous fungal endophthalmitis as well as bacterial endophthalmitis.
Insights
Severe periodontitis can lead to endogenous endophthalmitis caused by fungi like Aspergillus flavus. This case highlights periodontitis as a potential infectious source for fungal eye infections.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Mycology
Background:
- Endogenous endophthalmitis is a serious intraocular infection.
- Fungal endophthalmitis is less common than bacterial endophthalmitis.
- Identifying the source of infection is crucial for treatment.
Observation:
- A 64-year-old woman presented with endogenous endophthalmitis.
- The patient had a history of severe periodontitis.
- Vitreous biopsy revealed fungal elements.
Findings:
- Fungal culture identified Aspergillus flavus as the causative agent.
- Histopathology confirmed the presence of fungi in vitreous debris.
- Severe periodontitis was identified as the likely source of infection.
Implications:
- Periodontitis should be recognized as a potential infectious focus for endogenous fungal endophthalmitis.
- This finding expands the differential diagnosis for endogenous endophthalmitis.
- Early recognition and management of periodontitis may prevent severe ocular complications.