Postoperative fungal endophthalmitis caused by Trichosporon asahii treated with voriconazole

Küçük Resim Yok

Tarih

2015

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

CONSEL BRASIL OFTALMOLOGIA

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Postoperative fungal endophthalmitis is a rare but devastating complication of cataract surgery. Vitrectomy and intravitreal amphotericin B injection as well as administration of systemic antifungal agents have been suggested as optimal treatments for fungal endophthalmitis. However, this therapy may fail to eliminate fungal species resistant to current antifungal agents. The saprophytic fungus Trichosporon asahii is frequently observed as a cause of endogenous endophthalmitis in immunosuppressed patients. We report a case of postoperative endophthalmitis caused by T. asahii, resistant to amphotericin B. To the best of our knowledge, this is the first report of T. asahii endophthalmitis successfully treated with intravitreal and systemic voriconazole, pars plana vitrectomy, and removal of the intraocular lens and entire lens capsule.

Açıklama

Anahtar Kelimeler

Endophthalmitis/etiology, Endophthalmitis/drug therapy, Postoperative complications, Phacoemulsification/complication, Trichosporon, Pyrimidines, Humans, Case reports

Kaynak

ARQUIVOS BRASILEIROS DE OFTALMOLOGIA

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

78

Sayı

4

Künye