[Endogenous Aspergillus endophthalmitis in AIDS].
BACKGROUND
We present the course of an endogenous Aspergillus endophthalmitis in a 38-year-old HIV-positive man. HISTORY AND CLINICAL SIGNS: The first examination because of a sudden visual loss in the right eye showed a central subretinal infiltration, peripheral vascular sheeting and retinal hemorrhages.


RESULTS
In spite of high-dose systemic antifungal therapy we could not prevent the penetration of the posterior wall of the eye and infiltration of adjacent orbital structures. Enucleation had to be performed.


CONCLUSIONS
In case of scleral involvement in Aspergillus endophthalmitis the necessity of enucleation has to be considered.
Petersen
M
M
Augenklinik der Medizinischen Einrichtungen, Heinrich-Heine-Universität, Düsseldorf.
Althaus
C
C
Santen
R
R
Gerharz
C D
CD
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001232:Aspergillus fumigatus; D002829:Choroid / Q000473:pathology; D009877:Endophthalmitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D015353:Eye Enucleation; D006801:Humans; D008297:Male; D012160:Retina / Q000473:pathology; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D014821:Vitrectomy
Endogene Aspergillus-Endophthalmitis bei AIDS.