Postpartum endogenous Candida endophthalmitis.
Candida albicans is the most common pathogen causing intraocular fungal infection. Postpartum endogenous Candida endophthalmitis, however, is extremely rare. We report the case of a 33-year-old postpartum woman who presented with a 5-day history of decreased vision and had a positive blood culture for C. albicans. Fundus examination showed vitreous haze and multiple pre-retinal whitish lesions with indistinct borders. Systemic investigations revealed acute renal failure and cardiomegaly. After treatment with intravenous antifungal therapy, vitrectomy, and intravitreal injection of antimycotics, systemic and intraocular infections were eradicated successfully.
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
Chia-Chen
CC
Tsai
Shih-Jen
SJ
Chen
Yu-Mei
YM
Chung
Kwok-Woon
KW
Yu
Wen-Ming
WM
Hsu
D000328:Adult; D002177:Candidiasis / Q000175:diagnosis* / Q000188:drug therapy; D009877:Endophthalmitis / Q000175:diagnosis* / Q000188:drug therapy; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D011247:Pregnancy; D011645:Puerperal Infection / Q000175:diagnosis* / Q000188:drug therapy; D018805:Sepsis / Q000175:diagnosis / Q000188:drug therapy