[A case of post-traumatic Absidia corymbifera fungal endophthalmitis].
Exogenous fungal endophthalmitis is a rare postoperative and posttraumatic complication with, often, a dreadful prognosis. We report one case of Absidia corymbifera endophthalmitis after penetrating injury with a retained intraocular vegetable foreign body. We focus on the risk factors for the development of fungal endophthalmitis (vegetable foreign body, corticotherapy) and the importance of ocular fluid samples for stain and appropriate culture. In this case, the treatment associating contaminated tissue extraction and systemic and intravitreal administration of antifungal agents was efficient.
Service d'Ophtalmologie, Hôpital Gabriel Montpied, CHRU, Clermont-Ferrand.
I
I
Houtmann
F
F
Bacin
S
S
Amara-Allieu
M
M
Cambon
J P
JP
Bellamy
G
G
Mougeot
D020095:Absidia; D000062:Accidents, Occupational; D000328:Adult; D000383:Agriculture; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D005129:Eye Foreign Bodies / Q000150:complications* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000150:complications*; D006801:Humans; D008297:Male; D009091:Mucormycosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D011379:Prognosis; D012307:Risk Factors; D013256:Steroids
D000893:Anti-Inflammatory Agents; D000935:Antifungal Agents; D013256:Steroids