Endogenous Aspergillus versicolor endophthalmitis in an immuno-competent HIV-positive patient.
A 25-year-old white, HIV-positive, immuno-competent man was referred to us because of a progressive blurred vision in his right eye. Clinical characteristics were suggestive for an unilateral fungal endophthalmitis, and thereby fluconazole firstly, followed by conventional amphotericin B were intravenously administered, without any significant improvement. Thus, a pars plana vitrectomy was performed. Aspergillus versicolor was isolated from the cultures of the vitreous sample and intravenous liposomal amphotericin B was administered. An increase of visual acuity together with a reduction of vitreous inflammation occurred. This case of ours represents the first report describing an endogenous endophthalmitis induced by Aspergillus versicolor.
Perri
Paolo
P
Department of Ophthalmology, University of Ferrara, Ferrara, Italy.
Campa
Claudio
C
Incorvaia
Carlo
C
Parmeggiani
Francesco
F
Lamberti
Giuseppe
G
Costagliola
Ciro
C
Sebastiani
Adolfo
A
D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis / Q000382:microbiology; D001230:Aspergillus / Q000302:isolation & purification*; D009877:Endophthalmitis / Q000175:diagnosis* / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000382:microbiology; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D014792:Visual Acuity; D014821:Vitrectomy