Endogenous Candida endophthalmitis after induced abortion.
OBJECTIVE
To report two young healthy women who developed endogenous Candida endophthalmitis after undergoing surgically induced abortion.


METHODS
Case reports.


RESULTS
In two eyes of two patients, a diagnosis of Candida endophthalmitis was established by typical fundus appearance, positive vaginal culture, and, in one case, positive vitreous culture. After vitrectomy and intravitreal amphotericin B injection, one eye of one patient had a best-corrected visual acuity of 20/200, whereas one eye of one patient, who had systemic corticosteroid treatment before the correct diagnosis, developed recurrent retinal detachment and a best-corrected visual acuity of counting fingers.


CONCLUSIONS
Induced abortion may cause endogenous Candida endophthalmitis in young healthy pregnant women. Systemic corticosteroid treatment may increase the risk of endophthalmitis.
Chen
S J
SJ
Department of Ophthalmology, Veterans General Hospital-Taipei, National Yang Ming University, Taiwan, Republic of China. sjchen@vghtpe.gov.tw
Chung
Y M
YM
Liu
J H
JH
D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D009877:Endophthalmitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D015821:Eye Infections, Fungal / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D011247:Pregnancy; D012008:Recurrence; D012163:Retinal Detachment / Q000209:etiology; D014621:Vagina / Q000382:microbiology; D014626:Vaginal Smears; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000382:microbiology
D000935:Antifungal Agents; D000666:Amphotericin B