Fusarium endophthalmitis in an intravenous drug abuser.
OBJECTIVE
We studied a case in which a patient had unilateral retinal infiltrates and a retinal vasculopathy resembling frosted branch angiitis. He later admitted to injecting cocaine intravenously.


METHODS
The patient underwent a pars plana vitrectomy and received intravitreal and intravenous amphotericin B.


RESULTS
The vitreous fluid grew Fusarium dimerium. There was rapid response to the treatment and full recovery of vision.


CONCLUSIONS
Fusarium species should be considered as a potential pathogen in intravenous drug abusers with endogenous endophthalmitis and in patients with unilateral frosted branch angiitis.
Gabriele
P
P
Department of Ophthalmology, University of Cincinnati College of Medicine, OH 45219, USA.
Hutchins
R K
RK
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003042:Cocaine; D009877:Endophthalmitis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D015821:Eye Infections, Fungal / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D005670:Fusarium / Q000302:isolation & purification; D006801:Humans; D008297:Male; D009181:Mycoses / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D015819:Substance Abuse, Intravenous / Q000150:complications*; D014657:Vasculitis / Q000209:etiology; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000935:Antifungal Agents; D000666:Amphotericin B; D003042:Cocaine