[Candida albicans uveopapillitis. Diagnostic and therapeutic discussion apropos of a case].
Due to the difficulties encountered in the etiologie diagnosis of papillo uveitis along with the increasing occurrence of fungal infections (in paralleled with the number of AIDS affected patients), we found of interest to report a case of exsudative macular chorioretinitis with poor evolution under steroid therapy. In this patient infection by Candida Albicans was suspected and confirmed only after isolation and culture of the fungal from a vitrectomy specimen. A therapeutic apponch using Fluconazole (Triflucan allowed a dramatic improvement of visual acuity within a few months. Thus, vitrectomy appears as a decisive step in the diagnosis of endogenous ocular candidiasis. This diagnosis is even more difficult to suspect in patient without immun deficiency more any extraocular focal infestation.
Clinique Ophthalmologique, Hôpial Civil, Strasbourg.
E
E
Despres
M
M
Weber
D
D
Jouart
J
J
Sahel
J
J
Flament
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000175:diagnosis* / Q000628:therapy; D009877:Endophthalmitis / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D009898:Optic Disk; D014605:Uveitis / Q000175:diagnosis* / Q000628:therapy; D014821:Vitrectomy
D000935:Antifungal Agents
Uvéo-papillite à Candida albicans. Discussion diagnostique et thérapeutique à propos d'une observation.