title: Candida tropicalis multifocal endophthalmitis as the only initial manifestation of pacemaker endocarditis.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Internal Medicine C, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University. hshmuely@post.tau.ac.il
authors.forename: H
authors.initials: H
authors.lastname: Shmuely
authors.forename: I
authors.initials: I
authors.lastname: Kremer
authors.forename: A
authors.initials: A
authors.lastname: Sagie
authors.forename: S
authors.initials: S
authors.lastname: Pitlik
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002175:Candida / Q000302:isolation & purification; D002177:Candidiasis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D004696:Endocarditis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D004866:Equipment Contamination; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D016469:Fungemia / Q000209:etiology; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*
chemical_list: D000935:Antifungal Agents