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Candida tropicalis multifocal endophthalmitis as the only initial manifestation of pacemaker endocarditis
1Department of Internal Medicine C, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University. hshmuely@post.tau.ac.il
Purpose:
To document a case of Candida tropicalis endophthalmitis as the only manifestation of pacemaker endocarditis.
Methods:
We examined a 75-year-old man with diabetes mellitus who was initially examined for bilateral multifocal endophthalmitis complicating endocarditis 2 years after a permanent pacemaker for sick sinus syndrome was implanted.
Results:
Transesophageal echocardiography showed a large vegetation with a 3-cm diameter attached to the pacing electrode in the right ventricle. Six consecutive blood cultures grew C tropicalis.
Conclusions:
Ocular involvement, including multifocal endophthalmitis, may occur as the only manifestation of C tropicalis endocarditis, complicating an intravenous permanent pacemaker.